Organization Active NPI

Alpenglow Psych, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Loveland, CO
National Provider Identifier
1972139467
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ALPENGLOW PSYCH, PLLC
Practice address
2004 W 15TH St Ste 3
Loveland, CO 80538-3551
Phone
(970) 310-4389
NPI assigned
Mar 17, 2020
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Collin Michael Zander, PMHNP-BC, FNP-BC
Title
Owner
Phone
(970) 310-4389

Practitioners 1

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

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

NPPES NPI Registry

Primary practice location

2004 W 15TH St Ste 3
Loveland, CO 80538-3551

Mailing address

PO Box 272213
Fort Collins, CO 80527-2213
Phone (970) 310-4389

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1992086839MedicaidCO

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 17, 2020.

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584403200000",
    "number": "1972139467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 272213",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805272213",
            "telephone_number": "970-310-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 W 15TH ST STE 3",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805383551",
            "telephone_number": "970-310-4389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPENGLOW PSYCH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-17",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A",
        "authorized_official_last_name": "ZANDER",
        "authorized_official_first_name": "COLLIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-310-4389",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PMHNP-BC, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992086839",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.