MS. CONNIE MALLO RANDAZZO CNS
NPI 1871602664
Clinical Nurse Specialist - Psychiatric/Mental Health in Fort Collins, CO

Active since August 29, 2006
2620 E PROSPECT RD, SUITE 190, FORT COLLINS, CO 80525(970) 221-1106(970) 232-1050 Get Directions Write a Review

NPPES record last updated: May 26, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Connie Mallo Randazzo Cns NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. CONNIE MALLO RANDAZZO CNS (NPI 1871602664) is an individual psychiatric/mental health provider in Fort Collins, Colorado, licensed in Colorado (81170) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1871602664
Entity TypeIndividualFemale
Primary Taxonomy364SP0808X
Provider Legal NameMS. CONNIE MALLO RANDAZZOCredential: CNS
Location Address2620 E PROSPECT RD, SUITE 190Fort Collins, CO 80525-9098
Mailing Address2620 E Prospect Rd, Suite 190Fort Collins, CO 80525-9098 · (970) 221-1106 · Fax (970) 232-1050
Fax(970) 232-1050
Sole ProprietorNo
Enumeration DateAugust 29, 2006
Last NPPES UpdateMay 26, 2016
NPI 1871602664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SP0808X
License Licensed in CO · 81170
2620 E PROSPECT RD, Fort Collins, CO 80525

Other Names 1

Former Name (1)Connie F Mallo

Other Identifiers 2

Medicaid87954770CO
Medicare UPINP97737

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Naturopath
2620 E PROSPECT RD, SUITE# 190
FORT COLLINS, CO 80525
Physical Therapist
2620 E PROSPECT RD, SUITE 160
FORT COLLINS, CO 80525
Physical Therapist
2620 E PROSPECT RD, SUITE 160
FORT COLLINS, CO 80525
Family Medicine
2620 E PROSPECT RD, SUITE 190
FORT COLLINS, CO 80525
Psychiatry & Neurology (Psychiatry)
2620 E PROSPECT RD
FORT COLLINS, CO 80525
Nurse Practitioner
2620 E PROSPECT RD, SUITE 160
FORT COLLINS, CO 80525
Naturopath
2620 E PROSPECT RD, SUITE 190
FORT COLLINS, CO 80525
Physical Therapist
2620 E PROSPECT RD, STE 160
FORT COLLINS, CO 80525

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Connie Randazzo's NPI number?

The NPI number for Connie Randazzo is 1871602664. It was assigned to this individual provider in the NPPES registry on August 29, 2006. The provider is also known as Connie F Mallo.

Where is Connie Randazzo located?

Connie Randazzo practices at 2620 E Prospect Rd Suite 190, Fort Collins, CO 80525. The listed phone number is (970) 221-1106.

What is Connie Randazzo's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, with taxonomy code 364SP0808X.

When was this NPI record last updated?

The NPPES record for Connie Randazzo was last updated on May 26, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.