Pediatric Telehealth of Colorado Inc

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

Legal business name

PEDIATRIC TELEHEALTH OF COLORADO INC

Practice address

356 S McCulloch Blvd Ste 106
Pueblo, CO 81007-2848

Phone

(719) 251-2186

Fax

(833) 941-1671

NPI assigned

Feb 20, 2023

Organization subpart

No

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

Authorized official

Name

Brooke Erin Douglas, CPNPNPI 1972071306

Title

Pediatric Nurse Practitioner

Phone

(719) 251-2186

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brooke Erin Douglas, CPNP-PC

  • Pediatric Nurse Practitioner
  • Pueblo, CO
  • NPI 1972071306

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1083312912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 S CAYUGA DR",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810071935",
            "telephone_number": "719-251-2186",
            "fax_number": "719-207-7087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 S MCCULLOCH BLVD STE 106",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810072848",
            "telephone_number": "719-251-2186",
            "fax_number": "833-941-1671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC TELEHEALTH OF COLORADO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "ERIN",
        "authorized_official_title_or_position": "PEDIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "719-251-2186",
        "authorized_official_credential": "CPNP"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pechek Dental and Associates
• Katherine Marie Pechek, DDS
• Raymond L Pechek, PHARMD
• Ty A Pechek, D.D.S.,M.S.,P.C.
• Pediatric Associates of Southern Colorado, LLC
• Pediatrix Medical Group of Colorado, P.C.
• Eric Joseph Pelletier, DNP, AGACNP-BC
• Heather Pelser
• Amy Pelz
• Rosalinda Pena, LPC

• Pediatric Nurse Practitioner in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Pediatric Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.