Individual provider Active NPI

Debra Jo Hain, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Riverton, UT
National Provider Identifier
1932139482
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
C-APN.0103871-C-NP Issued in CO
Practice address
13222 Tree Sparrow Dr Ste R210
Riverton, UT 84096-2889
Phone
(801) 872-5516
Fax
(801) 212-9942
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP1818372 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 13421220-4405 UT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X C-APN.0103871-C-NP CO Primary

Addresses

Primary practice location

13222 Tree Sparrow Dr Ste R210
Riverton, UT 84096-2889

Mailing address

1650 Osceola Dr
West Palm Beach, FL 33409-5038
Phone (561) 803-8880

Other practice location 1

720 8th St
West Palm Beach, FL 33401-3606
Phone (561) 803-8880

Other practice location 2

1650 Osceola Dr
West Palm Beach, FL 33409-5038
Phone (561) 803-8880

Other practice location 3

14221 E 4th Ave Ste 2-126
Aurora, CO 80011-8735
Phone (720) 507-4779

Other identifiers 1

IdentifierTypeStateIssuer
305146300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CO, UT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20120620000447 FL Practitioner - Nurse Practitioner 5193989390 Reassigns benefits to 2 organizations
I20250417001926 CO Practitioner - Nurse Practitioner 5193989390 Reassigns benefits to 1 organization
I20250728003922 UT Practitioner - Nurse Practitioner 5193989390

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
Group practices
Activate CR, PLLCGroup PAC ID 5193255099, 10 clinicians

Practice addresses (Care Compare)

6817 Southpoint Pkwy
Suite 203
Jacksonville, FL 32216-6286
Phone (214) 272-2774

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C-APN.0103871-C-NPCOMDPsychiatric/Mental Health Nurse Practitioner
13421220-4405UTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mile High Psychiatry, LLC Psychiatric/Mental Health CurrentSince Apr 10, 2025 Accepting new patients
H.O.P.E. Mental Healthcare Current Accepting new patients
Activate CR, PLLC CurrentSince Oct 1, 2025 Accepting new patients
Geriatric Solutions, LLC Gerontology CurrentSince Jul 1, 2023 Accepting new patients
Mile High Psychiatry LLC Nurse Practitioner CurrentSince Apr 10, 2025 Accepting new patients
H O P E Mental Healthcare LLC Psychiatric/Mental Health Current Accepting new patients
Bilga Attar MD PA PastSince Apr 16, 2012 Accepting new patients

Locations

2675 S Abilene St
Ste 100
Aurora, CO 80014

14221 E 4th Ave
Ste 2126
Aurora, CO 80011
Phone (720) 262-7502

5804 Indian Pines Blvd
Fort Pierce, FL 34951
Phone (772) 203-1887

6817 Southpoint Pkwy
Ste 203
Jacksonville, FL 32216
Phone (904) 256-9202

3663 15th Ave
Vero Beach, FL 32960
Phone (772) 567-2552

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.debrahain@154909.advancedmd-direct.com

Organizations & group practices 7

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1932139482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 OSCEOLA DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334095038",
            "telephone_number": "561-803-8880",
            "fax_number": "877-409-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13222 TREE SPARROW DR STE R210",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840962889",
            "telephone_number": "801-872-5516",
            "fax_number": "801-212-9942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 8th St",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334013606",
            "country_code": "US",
            "telephone_number": "561-803-8880",
            "fax_number": "877-409-1795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1650 Osceola Dr",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334095038",
            "country_code": "US",
            "telephone_number": "561-803-8880",
            "fax_number": "877-409-1795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14221 E 4th Ave Ste 2-126",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800118735",
            "country_code": "US",
            "telephone_number": "720-507-4779",
            "fax_number": "833-941-5047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAIN",
        "first_name": "DEBRA",
        "middle_name": "JO",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP1818372",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "13421220-4405",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "C-APN.0103871-C-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305146300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverton, UT

Sources for this page

Verify at the official NPI Registry.