Organization Active NPI

Sound Mind Medical, LLC

  • Family Nurse Practitioner
  • Parker, CO
National Provider Identifier
1881242998
Registry record updated Sep 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
SOUND MIND MEDICAL, LLC
Practice address
19751 E Mainstreet Ste 235
Parker, CO 80138-7405
Phone
(720) 257-9049
NPI assigned
Sep 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2019

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

Authorized official

Name
Candace Houston Deyerling, FNP-C
Title
Owner
Phone
(720) 257-9049

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

19751 E Mainstreet Ste 235
Parker, CO 80138-7405

Mailing address

19751 E Mainstreet Ste 235
Parker, CO 80138-7405
Phone (720) 257-9049

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CDeyerling@soundmindmedical.com Direct

National Provider Directory

National Provider Directory

Locations

19751 E Mainstreet
Ste 235
Parker, CO 80138
Phone (704) 724-5942

NPI Registry JSON

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

{
    "created_epoch": "1567296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567296000000",
    "number": "1881242998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19751 E MAINSTREET STE 235",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801387405",
            "telephone_number": "720-257-9049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19751 E MAINSTREET STE 235",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801387405",
            "telephone_number": "720-257-9049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUND MIND MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-01",
        "last_updated": "2019-09-01",
        "status": "A",
        "authorized_official_last_name": "DEYERLING",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_middle_name": "HOUSTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-257-9049",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CDeyerling@soundmindmedical.com",
            "affiliation": "N",
            "endpointDescription": "Business email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "19751 E Mainstreet Ste 235",
            "city": "Parker",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801387405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2019; 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.