Individual provider Active NPI

Paul G Garraty, NP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Lone Tree, CO
National Provider Identifier
1922362201
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0990417-NP Issued in CO
Practice address
9233 Park Meadows Dr
Lone Tree, CO 80124-5697
Phone
(970) 549-6875
Fax
(949) 222-2088
NPI assigned
Jul 1, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 184839 CO
Family Nurse Practitioner 363LF0000X NP990417 CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0990417-NP CO Primary

Addresses

Primary practice location

9233 Park Meadows Dr
Lone Tree, CO 80124-5697

Mailing address

4833 Front St Unit B-158
Castle Rock, CO 80104-7902
Phone (970) 549-6875

Other practice location 1

1145 Bulkey St
Castle Rock, CO 80108-9408
Phone (970) 549-6875

Other practice location 2

757 Maleta Ln Ste 101
Castle Rock, CO 80108-7612
Phone (970) 549-6875

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
I20120821000305 CO Practitioner - Nurse Practitioner 0143477513 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9233 Park Meadows Dr
Suite 215
Lone Tree, CO 80124-5697
Phone (970) 549-6875

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
184839COMDRegistered Nurse
NP990417COMDFamily Nurse Practitioner
APN.0990417-NPCOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blossom Psychiatric Services Family CurrentSince Feb 23, 2022 Accepting new patients
Blossom Psychiatric Services CurrentSince Jan 21, 2024 Accepting new patients
CCC of Northern Colorado PLLC Past Accepting new patients

Locations

757 Maleta Ln
Ste 101
Castle Rock, CO 80108
Phone (720) 733-8886

9233 Park Meadows Dr
Ste 215
Lone Tree, CO 80124
Phone (970) 549-6875

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1341100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1922362201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4833 FRONT ST UNIT B-158",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801047902",
            "telephone_number": "970-549-6875",
            "fax_number": "949-222-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9233 PARK MEADOWS DR",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245697",
            "telephone_number": "970-549-6875",
            "fax_number": "949-222-2088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1145 Bulkey St",
            "address_purpose": "LOCATION",
            "city": "Castle Rock",
            "state": "CO",
            "postal_code": "801089408",
            "country_code": "US",
            "telephone_number": "970-549-6875",
            "fax_number": "949-222-2088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "757 Maleta Ln Ste 101",
            "address_purpose": "LOCATION",
            "city": "Castle Rock",
            "state": "CO",
            "postal_code": "801087612",
            "country_code": "US",
            "telephone_number": "970-549-6875",
            "fax_number": "949-222-2088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARRATY",
        "first_name": "PAUL",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-01",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "184839",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "NP990417",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0990417-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

Verify at the official NPI Registry.