Individual provider Active NPI

Holly Lukenbill, FNP

  • Family Nurse Practitioner
  • Parker, CO
National Provider Identifier
1053139386
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.1000177-NP Issued in CO
Practice address
19600 E Parker Square Dr Ste 120
Parker, CO 80134-7322
Phone
(720) 770-0966
NPI assigned
Sep 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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.1000177-NP CO Primary

Addresses

Primary practice location

19600 E Parker Square Dr Ste 120
Parker, CO 80134-7322

Mailing address

6041 King CT
Parker, CO 80134-7528

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
I20241114004109 CO Practitioner - Nurse Practitioner 6103350012 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Little Clinic of Colorado, LLCGroup PAC ID 5597821280, 65 clinicians

Practice addresses (Care Compare)

19600 E Parker Square Dr
Suite 120
Parker, CO 80134-7322
Phone (720) 770-0966

9551 S University Blvd
Highlands Ranch, CO 80126-8117
Phone (303) 459-5639

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.1000177-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Little Clinic of Colorado, LLC Family CurrentSince Nov 4, 2024 Accepting new patients
Be Well Primary Care LLC CurrentSince Nov 1, 2025 Accepting new patients

Locations

9551 S University Blvd
Highlands Ranch, CO 80126
Phone (303) 459-5639

7984 W Alameda Ave
Lakewood, CO 80226
Phone (303) 459-7105

19600 E Parker Square Dr
Ste 120
Parker, CO 80134
Phone (720) 770-0966

2620 Elm Hill Pike
Nashville, TN 37214
Phone (615) 425-4211

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJCBBD

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1053139386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6041 KING CT",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801347528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19600 E PARKER SQUARE DR STE 120",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801347322",
            "telephone_number": "720-770-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKENBILL",
        "first_name": "HOLLY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-26",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.1000177-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.