| Ms Indizo Star Moon, RN, PMHNP | |
|
8490 E Crescent Pkwy Ste 200, Greenwood Village, CO 80111-2802 | |
| (720) 316-6434 | |
| Not Available |
| Full Name | Ms Indizo Star Moon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 8490 E Crescent Pkwy Ste 200, Greenwood Village, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215394820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN.1627689 (Colorado) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APN.0997135-NP (Colorado) | Primary |
| Entity Name | Mindful Therapy Group Of Colorado, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972389963 PECOS PAC ID: 3870036478 Enrollment ID: O20240624004790 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Indizo Star Moon, RN, PMHNP 2831 N York St, Denver, CO 80205-4658 Ph: (808) 345-7393 | Ms Indizo Star Moon, RN, PMHNP 8490 E Crescent Pkwy Ste 200, Greenwood Village, CO 80111-2802 Ph: (720) 316-6434 |
Kimberly Haapapuro, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6000 S Holly St, Greenwood Village, CO 80111 Phone: 720-200-6920 | |
Melanie Jayne Hall, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6000 S Holly St, Greenwood Village, CO 80111 Phone: 720-200-6920 | |
Mrs. Mako Grika Sather, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8200 E Belleview Ave, #510e, Greenwood Village, CO 80111 Phone: 303-783-3883 Fax: 303-783-3800 | |
Dr. Brigitte Frey, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5340 S Quebec St Ste 230s, Greenwood Village, CO 80111 Phone: 720-822-3838 | |
Ms. Judith Helene Weimer, RN, MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5200 Dtc Pkwy, #400, Greenwood Village, CO 80111 Phone: 303-745-0000 | |
Lindsay Wogen, FNP, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5990 S University Blvd, Greenwood Village, CO 80121 Phone: 800-275-8777 | |
Elle Martin, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8575 E Arapahoe Rd Unit K, Greenwood Village, CO 80112 Phone: 303-770-0028 |