Individual provider Active NPI

Patricia Mae Garcia, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • North Salt Lake, UT
National Provider Identifier
1952037798
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11790244-4405 Issued in UT
Practice address
863 Wilstead Dr
North Salt Lake, UT 84054-6116
Phone
(307) 421-1638
NPI assigned
Jul 25, 2022
Last updated
Jul 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11790244-4405 UT Primary

Addresses

Primary practice location

863 Wilstead Dr
North Salt Lake, UT 84054-6116

Mailing address

863 Wilstead Dr
North Salt Lake, UT 84054-6116
Phone (307) 421-1638

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
I20230327002143 CO Practitioner - Nurse Practitioner 7618341025 Reassigns benefits to 1 organization

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

Practice addresses (Care Compare)

515 28
BLDG F
Grand Junction, CO 81501-5016
Phone (970) 245-4214

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11790244-4405UTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado West Regional Mental Health, Inc. CurrentSince Dec 13, 2022 Accepting new patients
Colorado West Regional Mental Health, Inc. CurrentSince Dec 13, 2022 Accepting new patients
Colorado West Regional Mental Health Inc. Current Accepting new patients
Colorado West Regional Mental Health, Inc. Past Accepting new patients
Colorado West Regional Mental Health, Inc. Past Accepting new patients
Colorado West Regional Mental Health, Inc. Past Accepting new patients
Colorado West Regional Mental Health, Inc. Past Accepting new patients
Colorado West Regional Mental Health, Inc. PastSince Aug 25, 2024 Accepting new patients
Colorado West Regional Mental Health, Inc. PastSince Jul 31, 2023 Accepting new patients
Colorado West Psychiatric Hospital, Inc. Past Accepting new patients
Colorado West Regional Mental Health, Inc. Past Accepting new patients
Colorado West Regional Mental Health, Inc. Past Accepting new patients
Colorado West Regional Mental Health, Inc. Past Accepting new patients
Colorado West Regional Mental Health Inc. Past Accepting new patients
Colorado West Regional Mental Health, Inc. Past Accepting new patients

Locations

3210 E Rd
Clifton, CO 81520
Phone (702) 454-2139

439 Breeze St
Ste 200
Craig, CO 81625
Phone (970) 824-6541

2802 Grand Ave
Glenwood Springs, CO 81601
Phone (970) 945-2583

707 Wapiti Ct
Rifle, CO 81650
Phone (970) 945-8683

707 Wapiti Ct
Unit 202B
Rifle, CO 81650
Phone (970) 625-3582

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1952037798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "863 WILSTEAD DR",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840546116",
            "telephone_number": "307-421-1638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 WILSTEAD DR",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840546116",
            "telephone_number": "307-421-1638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "PATRICIA",
        "middle_name": "MAE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "11790244-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Salt Lake, UT

Sources for this page

Verify at the official NPI Registry.