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1154874857 NPI number — CAREY COUZELIS CNM,PMHNP-BC

NPI Number: 1154874857
Health Care Provider/Practitioner: CAREY COUZELIS CNM,PMHNP-BC

Information about “1154874857” NPI (CAREY COUZELIS CNM,PMHNP-BC) exists in 1154874857 in HTML format HTML  |  1154874857 in plain Text format TXT  |  1154874857 in PDF (Portable Document Format) PDF  |  1154874857 in an XML format XML  formats.

NPI Number : 1154874857 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1154874857",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "COUZELIS",
    "FirstName": "CAREY",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CNM,PMHNP-BC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1090 S WADSWORTH BLVD UNIT C3183",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAKEWOOD",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80226-4328",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "720-679-8205",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1090 S WADSWORTH BLVD UNIT C3183",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAKEWOOD",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80226-4328",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "720-679-8205",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/28/2016",
    "LastUpdateDate": "05/07/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "367A00000X",
          "TaxonomyName": "Advanced Practice Midwife",
          "LicenseNumber": "APN.0992106-CNM",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP0808X",
          "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
          "LicenseNumber": "APN.1000658-NP",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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