Individual provider Active NPI

Amy Rae Hardin, FNP-C

  • Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1093445538
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
C-APN.0004147-C-NP Issued in CO
Practice address
6031 E Woodmen Rd Ste 200
Colorado Springs, CO 80923-2625
Phone
(719) 577-2555
Fax
(719) 597-6425
NPI assigned
Jun 16, 2022
Last updated
Oct 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X C-APN.0004147-C-NP CO Primary

Addresses

Primary practice location

6031 E Woodmen Rd Ste 200
Colorado Springs, CO 80923-2625

Mailing address

7951 E Maplewood Ave Ste 350
Greenwood Village, CO 80111-4758
Phone (303) 930-7803

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
I20220916002559 CO Practitioner - Nurse Practitioner 0547645186 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C-APN.0004147-C-NPCOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Cancer Centers LLP Nurse Practitioner CurrentSince Jul 6, 2022 Accepting new patients
Rocky Mountain Cancer Centers, LLP CurrentSince Jul 6, 2022 Accepting new patients
Khalid Chowdhury MD, PC PastSince Feb 12, 2013 Accepting new patients

Locations

2312 N Nevada Ave
Ste 400
Colorado Springs, CO 80907
Phone (719) 577-2555

3027 N Circle Dr
Colorado Springs, CO 80909
Phone (719) 577-2555

6031 E Woodmen Rd
Ste 200
Colorado Springs, CO 80923
Phone (719) 577-2555

1601 E 19th Ave
Ste 3000
Denver, CO 80218
Phone (303) 388-4876

1800 N Williams St
Ste 200
Denver, CO 80218
Phone (303) 388-4876

7951 E Maplewood Ave
Ste 350
Greenwood Village, CO 80111

Organizations & group practices 3

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": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1093445538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7951 E MAPLEWOOD AVE STE 350",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114758",
            "telephone_number": "303-930-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6031 E WOODMEN RD STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232625",
            "telephone_number": "719-577-2555",
            "fax_number": "719-597-6425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDIN",
        "first_name": "AMY",
        "middle_name": "RAE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "C-APN.0004147-C-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.