MS. CONNIE MALLO RANDAZZO CNS NPI 1871602664

NPI Information

  • NPI: 1871602664
  • Provider Name: MS. CONNIE MALLO RANDAZZO, CNS
  • Classification: Clinical Nurse Specialist - 364SP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 2620 E PROSPECT RD
    SUITE 190
    FORT COLLINS, CO
    ZIP 80525
  • Phone: (970) 221-1106

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NPI Details

MS. Connie Mallo Randazzo, CNS is a psychiatric/mental health clinical nurse specialist in Fort Collins, CO. MS. Connie Mallo Randazzo, CNS NPI is 1871602664. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2620 E PROSPECT RD
SUITE 190
FORT COLLINS, CO
ZIP 80525-098
Phone: (970) 221-1106
Fax: (970) 232-1050

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychotherapy with evaluation and management visit, 30 minutes (HCPCS:90833)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)

The enumeration date for this NPI number is 8/29/2006 and was last updated on 5/26/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1364SP0808XClinical Nurse SpecialistPsychiatric/Mental Health81170COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
187954770MEDICAIDCOLORADO
2P97737MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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