Individual provider Active NPI

Carrie Lynne Radding, PMHNP-APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Durango, CO
National Provider Identifier
1861139826
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0997592-NP Issued in CO
Practice address
108 Conejo PL
Durango, CO 81301
Phone
(720) 507-4779
NPI assigned
May 19, 2022
Last updated
Sep 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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 Nurse Practitioner 363LP0808X APN.0997592-NP CO Primary

Addresses

Primary practice location

108 Conejo PL
Durango, CO 81301

Mailing address

108 Conejo PL
Durango, CO 81301-5811
Phone (970) 749-7997

Other names 1

  • Carrie Lynne Wolvin Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220609001578 CO Practitioner - Nurse Practitioner 9234517863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1312 17TH St
Suite 1454
Denver, CO 80202-1508
Phone (720) 248-8364

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Cares Psychiatry, LLC Single Specialty CurrentSince Aug 1, 2023 Accepting new patients

Locations

1312 17th St
Denver, CO 80202
Phone (303) 997-0305

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1861139826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 CONEJO PL",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015811",
            "telephone_number": "970-749-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 CONEJO PL",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "81301",
            "telephone_number": "720-507-4779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADDING",
        "first_name": "CARRIE",
        "middle_name": "LYNNE",
        "credential": "PMHNP-APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-19",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0997592-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "WOLVIN",
            "middle_name": "LYNNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.