Clementine Health and Wellness

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

CLEMENTINE HEALTH AND WELLNESS

Practice address

225 E Cheyenne Mountain Blvd Ste 100
Colorado Springs, CO 80906-3700

Phone

(719) 204-3429

NPI assigned

Sep 9, 2024

Organization subpart

No

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

Authorized official

Name

Keenan GriegoNPI 1346858404

Title

NP

Phone

(719) 204-3429

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keenan Michael Griego, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1346858404

  Single Specialty

  Medicare reassignment NPD Authorized official
• Courtney L Hill, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Denver, CO
  • NPI 1821452202
  Medicare reassignment

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1902632904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E CHEYENNE MOUNTAIN BLVD STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E CHEYENNE MOUNTAIN BLVD STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063700",
            "telephone_number": "719-204-3429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEMENTINE HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "GRIEGO",
        "authorized_official_first_name": "KEENAN",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "719-204-3429"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Dar Cleland
• Crystal Clem
• Regan Clemens
• Lesley Paige Clement, PHARM. D.
• Jennifer Marie Clemente, DDS
• Rachel Clements, MA
• Anne Rundle Clemmer, PSYD
• Isobel Cleveland
• Joshua David Cleveland, LMT
• Michael Cleveland

• Psychiatric/Mental Health Nurse Practitioner in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.