Individual provider Active NPI

Robert R. Handley Jr., FNP-BC

  • Family Nurse Practitioner
  • Limon, CO
National Provider Identifier
1063016723
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0995877-NP Issued in CO
Practice address
110 A Ave
Limon, CO 80828-5051
Phone
(719) 775-2256
NPI assigned
Nov 24, 2020
Last updated
May 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 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.0995877-NP CO Primary

Addresses

Primary practice location

110 A Ave
Limon, CO 80828-5051

Mailing address

1177 Rose Ave
Burlington, CO 80807-1756
Phone (719) 346-5239

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
I20220105001620 CO Practitioner - Nurse Practitioner 1951538651 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Little Clinic of Colorado, LLC Family CurrentSince Dec 1, 2021 Accepting new patients
Town of Limon PastSince Nov 29, 2020 Accepting new patients

Locations

19711 E Smoky Hill Rd
Centennial, CO 80015
Phone (303) 400-5204

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

11747 W Ken Caryl Ave
Littleton, CO 80127
Phone (303) 933-5119

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

Interoperability endpoints

  • Direct secure messaging: robert.handley@krogerhealth.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1063016723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 ROSE AVE",
            "city": "BURLINGTON",
            "state": "CO",
            "postal_code": "808071756",
            "telephone_number": "719-346-5239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 A AVE",
            "city": "LIMON",
            "state": "CO",
            "postal_code": "808285051",
            "telephone_number": "719-775-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDLEY",
        "first_name": "ROBERT",
        "middle_name": "R.",
        "name_suffix": "Jr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-24",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0995877-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Limon, CO

Sources for this page

Verify at the official NPI Registry.