TERRI SQUIRES, LPC, FNP-C, PNP-C, APRN-RX (NPI# 1053779421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053779421 |
| Entity Type | Organization |
| Organization Name | TERRI SQUIRES, LPC, FNP-C, PNP-C, APRN-RX |
| Other Organization Name | INTEGRATIVE PSYCHIATRY SERVICES, LLC; TERRI SQUIRES, LPC, FNP-C, PNP-C |
| Practice Address |
560 Mountain Village Blvd # 102a-b Suite 102a-b Telluride CO 81435-9513 |
| Mailing Address |
Po Box 3629 Telluride CO 81435-3629 |
| Practice Telephone | 8088666533 |
| Practice Fax Number | 8883387728 |
| Mailing Telephone | 8088666533 |
| Mailing Fax Number | 8883387728 |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2016-02-01 |
| Authorized Official Name | PROF. TERRI LEIGH SQUIRES (CEO) |
| Authorized Official Telephone | 8088666533 |
| Authorized Official Credential | LPC, FNP-C, PNP- |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
5346 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 87485249 | 05 |
| Other Name | Type Code |
|---|---|
| INTEGRATIVE PSYCHIATRY SERVICES, LLC; TERRI SQUIRES, LPC, FNP-C, PNP-C | Doing Business As Name - Organization |
| Street Address |
560 MOUNTAIN VILLAGE BLVD # 102A-B SUITE 102A-B |
| City | TELLURIDE |
| State | CO |
| Zip Code | 81435-9513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760319 | Deeka Mcdaniel | Pharmacist | 333 Colorado Ave #3, Telluride, CO 81435 | 2020-11-06 |
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| 1952901258 | Midwestern Colorado Mental Health Center | Clinic/Center | 238 E. Colorado Ave., Suite 9, Telluride, CO 81435 | 2020-10-27 |
| 1265993471 | Courtney Stern | Midwife | 250 S Fir, Unit 3, Telluride, CO 81435 | 2019-03-29 |
| 1841757028 | Elevated Dental | Dentist | 101 E Colorado Ave, Suite 202, Telluride, CO 81435 | 2019-02-25 |
| 1790255321 | Lisa Marie Scott | Dental Hygienist | 238 E Colorado Ave, Suite 8, Telluride, CO 81435 | 2018-11-27 |
| 1164916250 | Erin Armstrong Therapy | Social Worker | 747 W Pacific Ave, Telluride, CO 81435 | 2018-06-21 |
| 1588166532 | Matt Destefano | Physical Therapist | 317 E Colorado Ave, Balanced Therapy, LLC, Telluride, CO 81435 | 2018-03-06 |
| 1033648993 | Christine Rosita Richards | Physical Therapist | 300 West Colorado Ave, Suite 2b, Telluride, CO 81435 | 2017-06-05 |
| 1972981603 | Katrina Rinne | Physical Therapist | 300 W. Colorado Avenue, Suite 2b, Telluride, CO 81435 | 2015-05-14 |
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| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
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| 1760009617 | Tiffany Taylor | Nurse Practitioner | 4729 Opus Dr, Colorado Springs, CO 80906-8694 | 2020-06-26 |
| 1578189791 | Bailey Et Al Pllc | Nurse Practitioner | 3005 Anchor Way Apt 1, Fort Collins, CO 80525-4716 | 2020-06-23 |
| 1407471774 | Meditelecare of Colorado LLC | Nurse Practitioner | 1900 W Littleton Blvd, Littleton, CO 80120-2023 | 2020-06-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.