NPIMap

Individual provider Active NPI

Carrie Shahbahrami, MSN,RXN,CNS,ACCNS-AG

  • Psychiatric/Mental Health Nurse Practitioner
  • Grand Junction, CO
National Provider Identifier
1972070498
Registry record updated Sep 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0995365-NP Issued in CO
Practice address
1006 N 5TH St
Grand Junction, CO 81501-7561
Phone
(970) 579-0003
Fax
(970) 433-7671
NPI assigned
Nov 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Clinical Nurse Specialist 364SA2100X APN.0994139-CNS CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0995365-NP CO Primary

Addresses

Primary practice location

1006 N 5TH St
Grand Junction, CO 81501-7561

Mailing address

1006 N 5TH St
Grand Junction, CO 81501-7561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210121000230 CO Practitioner - Nurse Practitioner 5799918710 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lifespan Psychiatry of ColoradoGroup PAC ID 0749694495, 11 clinicians
Eagle Valley Mental HealthGroup PAC ID 6204297450, 32 clinicians

Practice addresses (Care Compare)

2140 N 12TH St
Grand Junction, CO 81501-2916
Phone (970) 579-0003

236 Cottonwood St
Delta, CO 81416-4401
Phone (970) 579-0003

439 Edwards Access Rd
VHBH Wiegers Mental Health Clinic
Edwards, CO 81632-5634
Phone (970) 445-2489

Hospital & facility affiliations

  • Intermountain Health St. Mary'S Regional Hospital Hospital, Grand Junction, CO, CCN 060023
  • Community Hospital Hospital, Grand Junction, CO, CCN 060054
  • Vail Health Hospital Hospital, Vail, CO, CCN 060096
  • Delta County Memorial Hospital Hospital, Delta, CO, CCN 060071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.0994139-CNSCOMDAcute Care Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Psychiatric/Mental Health CurrentSince Feb 10, 2021 Accepting new patients
Eagle Valley Mental Health CurrentSince Aug 11, 2025 Accepting new patients
Lifespan Psychiatry of Colorado Inc. Psychiatric/Mental Health CurrentSince Dec 11, 2020 Accepting new patients
Eagle Valley Mental Health Current Accepting new patients
Eagle Valley Mental Health CurrentSince Aug 11, 2025 Accepting new patients
Lifespan Psychiatry of Colorado Psychiatric/Mental Health CurrentSince Dec 11, 2020 Accepting new patients
Vail Clinic, Inc. Past Accepting new patients
Vail Clinic, Inc. Past Accepting new patients

Locations

236 Cottonwood St
Delta, CO 81416
Phone (970) 874-7681

555 Meeker St
Delta, CO 81416
Phone (970) 201-1467

439 Edwards Access Rd
Edwards, CO 81632
Phone (970) 455-2489

435 Edwards Access Rd
Edwards, CO 81632
Phone (970) 855-7378

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

2140 N 12th St
Grand Junction, CO 81501
Phone (970) 712-6059

1006 N 5th St
Grand Junction, CO 81501
Phone (970) 640-4697

637 North Ave
Grand Junction, CO 81501

Organizations & group practices 8

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663372800000",
    "number": "1972070498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 N 5TH ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815017561",
            "fax_number": "970-433-7671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 N 5TH ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815017561",
            "telephone_number": "970-579-0003",
            "fax_number": "970-433-7671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHBAHRAMI",
        "first_name": "CARRIE",
        "credential": "MSN,RXN,CNS,ACCNS-AG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-02",
        "last_updated": "2022-09-17",
        "certification_date": "2022-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "CO",
            "license": "APN.0994139-CNS",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0995365-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.