Active NPI
Stephanie Lynn Mothersell
- Registered Nurse
- Grand Junction, CO
National Provider Identifier
1871886085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 198785
- Practice address
- 510 29 1/2 Rd
Grand Junction, CO 81504-5383 - Phone
- (970) 254-1406
- Fax
- (970) 254-4118
- NPI assigned
- May 20, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 198785 | CO | Primary |
Addresses
Primary practice location
510 29 1/2 Rd
Grand Junction, CO 81504-5383
Mailing address
PO Box 20000
Grand Junction, CO 81502-5033
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 198785 | CO | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mesa County Health Department | Past | Accepting new patients | |
| Mesa County Health Department | Past | Accepting new patients |
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.
-
- Community Health Registered Nurse
- Grand Junction, CO
- NPI 1275536146
-
- Ambulatory Family Planning Facility
- Grand Junction, CO
- NPI 1407064819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305849600000",
"number": "1871886085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20000",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815025033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 29 1/2 RD",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815045383",
"telephone_number": "970-254-1406",
"fax_number": "970-254-4118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTHERSELL",
"first_name": "STEPHANIE",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-20",
"last_updated": "2011-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "198785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.