Individual provider Active NPI

Havilah R. Spurlock, FNP-C

  • Family Nurse Practitioner
  • Pueblo, CO
National Provider Identifier
1023658713
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0995255-NP Issued in CO
Practice address
3676 Parker Blvd
Pueblo, CO 81008-2212
Phone
(719) 553-2200
NPI assigned
Jan 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0995255-NP CO Primary

Addresses

Primary practice location

3676 Parker Blvd
Pueblo, CO 81008-2212

Mailing address

6292 Galbreth Rd
Pueblo, CO 81005-9628
Phone (719) 469-4001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200505001896 CO Practitioner - Nurse Practitioner 6507297611 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William Storms Allergy Clinic PCGroup PAC ID 7810925781, 12 clinicians

Practice addresses (Care Compare)

1315 S Pueblo Blvd
Pueblo, CO 81005-1508
Phone (719) 955-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.0995255-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
William Storms Allergy Clinic PC CurrentSince Aug 19, 2025 Accepting new patients
Front Range Urgent Care, Inc. Current Accepting new patients
William Storms Allergy Clinic PC Current Accepting new patients
Comfort Care Family Practice, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Front Range Urgent Care, Inc. CurrentSince Dec 1, 2024 Accepting new patients
William Storms Allergy Clinic PC CurrentSince Aug 19, 2025 Accepting new patients
Comfort Care Family Practice, Inc. Current Accepting new patients
Comfort Care Family Practice, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Front Range Urgent Care, Inc CurrentSince Dec 1, 2024 Accepting new patients
Comfort Care Family Practice, Inc. Past Accepting new patients
Front Range Urgent Care, Inc. Past Accepting new patients
Front Range Urgent Care, Inc. Past Accepting new patients
Comfort Care Family Practice, Inc. Past Accepting new patients

Locations

19245 E Smoky Hill Rd
Unit A
Centennial, CO 80015
Phone (303) 468-8668

1625 Medical Center Pt
Ste 190
Colorado Springs, CO 80907
Phone (719) 345-1047

6530 S Academy Blvd
Ste 105
Colorado Springs, CO 80906
Phone (719) 471-2273

5799 Stetson Hills Blvd
Colorado Springs, CO 80917
Phone (719) 471-2273

5799 Stetson Hills Blvd
Ste 100
Colorado Springs, CO 80917
Phone (719) 471-2273

6908 Mesa Ridge Pkwy
Fountain, CO 80817
Phone (719) 471-2273

4130 N Freeway Rd
Pueblo, CO 81008
Phone (719) 471-2273

1315 S Pueblo Blvd
Pueblo, CO 81005
Phone (719) 345-1047

5929 Balcones Dr
Ste 200
Austin, TX 78731
Phone (512) 222-5856

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1023658713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6292 GALBRETH RD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810059628",
            "telephone_number": "719-469-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3676 PARKER BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082212",
            "telephone_number": "719-553-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPURLOCK",
        "first_name": "HAVILAH",
        "middle_name": "R.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-09",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0995255-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.