Individual provider Active NPI

Connie S. Bassham, RN, CNS

  • Psychiatric/Mental Health Registered Nurse
  • Denver, CO
National Provider Identifier
1811134430
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
53594 Issued in CO
Practice address
2525 S Downing St
Denver, CO 80210-5817
Phone
(303) 765-6344
Fax
(303) 765-6722
NPI assigned
Jan 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 53594 CO Primary

Addresses

Primary practice location

2525 S Downing St
Denver, CO 80210-5817

Mailing address

2525 S Downing St
Denver, CO 80210-5817
Phone (303) 765-6344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Nurse Specialist, Registered Nurse

State licenses

LicenseStateTypeSpecialty
53594COMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232409600000",
    "number": "1811134430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 S DOWNING ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105817",
            "telephone_number": "303-765-6344",
            "fax_number": "303-765-6722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 S DOWNING ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105817",
            "telephone_number": "303-765-6344",
            "fax_number": "303-765-6722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSHAM",
        "first_name": "CONNIE",
        "middle_name": "S.",
        "credential": "RN, CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-20",
        "last_updated": "2009-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CO",
            "license": "53594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.