Active NPI
Kairi Vaher, PSYD, NP
- Psychiatric/Mental Health Nurse Practitioner
- Pueblo, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 10011
- Practice address
- 56 Club Manor Drive
Suite 100
Pueblo, CO 81008-1685 - Phone
- (719) 584-4767
- Fax
- (719) 595-7906
- NPI assigned
- Oct 15, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 184090 | CO | |
| Psychologist | 103T00000X | 2790 | CO | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 10011 | CO | Primary |
Addresses
Primary practice location
56 Club Manor Drive
Suite 100
Pueblo, CO 81008-1685
Mailing address
2695 Rocky Mountain Road
Denver, CO 80256-0825
Phone (970) 624-2403
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34354841 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260
56 Club Manor Dr
Suite 100
Pueblo, CO 81008-1685
Phone (719) 584-4767
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 184090 | CO | MD | Adult Psychiatric/Mental Health Registered Nurse |
| 10011 | CO | MD | Physical Therapist |
| 2790 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients |
Locations
4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260
56 Club Manor Dr
Ste 100
Pueblo, CO 81008
Phone (719) 584-4767
1619 N Greenwood St
Ste 106
Pueblo, CO 81003
Phone (719) 595-7760
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Loveland, CO
- NPI 1225356868
-
- General Practice Physician
- Loveland, CO
- NPI 1366763260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763337600000",
"number": "1790010395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2695 ROCKY MOUNTAIN ROAD",
"city": "DENVER",
"state": "CO",
"postal_code": "802560825",
"telephone_number": "970-624-2403",
"fax_number": "970-490-4173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 CLUB MANOR DRIVE",
"address_2": "SUITE 100",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810081685",
"telephone_number": "719-584-4767",
"fax_number": "719-595-7906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAHER",
"first_name": "KAIRI",
"credential": "PSYD, NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-15",
"last_updated": "2025-11-17",
"certification_date": "2025-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "CO",
"license": "184090",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "2790",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CO",
"license": "10011",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34354841",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.