DR. FREDI SHAE PROCHODA DNPMSN FNP FPMHNP NPI 1023331477

NPI Information

NPI: 1023331477
Provider Name: DR. FREDI SHAE PROCHODA, DNP,MSN, FNP, FPMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: MILE HIGH PSYCHIATRY LLC

PECOS Registration: Yes

Address:
6950 E BELLEVIEW AVE STE 300
GREENWOOD VILLAGE, CO
ZIP 80111
Phone: (303) 468-8018
Get Directions

DR. Fredi Shae Prochoda, DNP,MSN, FNP, FPMHNP is a psychiatric/mental health nurse practitioner in Greenwood Village, CO with 16 years of experience. DR. Fredi Shae Prochoda, DNP,MSN, FNP, FPMHNP NPI is 1023331477. 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:

6950 E BELLEVIEW AVE STE 300
GREENWOOD VILLAGE, CO
ZIP 80111-629
Phone: (303) 468-8018

The NPI 1023331477 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/11/2010 and was last updated on 2/8/2022.

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
1	163W00000X	Registered Nurse		177837	COLORADO	No
2	363L00000X	Nurse Practitioner		RXP-100158	COLORADO	No
3	363LF0000X	Nurse Practitioner	Family	6013	COLORADO	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	NP-6013	COLORADO	Yes

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
1	21102384	OTHER	COLORADO	MEDICAID GROUP NUMBER
2	38303787	MEDICAID	COLORADO

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »