Individual provider Active NPI

Alexzandra Nicole Lopez, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1104676444
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0999632-NP Issued in CO
Practice address
1330 Inverness Dr Ste 400
Colorado Springs, CO 80910-3739
Phone
(970) 310-3406
NPI assigned
Mar 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0999632-NP CO Primary

Addresses

Primary practice location

1330 Inverness Dr Ste 400
Colorado Springs, CO 80910-3739

Mailing address

4834 Jedediah Smith Rd
Colorado Springs, CO 80922-1665
Phone (847) 532-8288

Other practice location 1

2739 E Las Vegas St
Colorado Springs, CO 80906-1594
Phone (719) 390-2000

Other names 1

  • Alexzandra Planica Former name

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
I20250320003933 CO Practitioner - Nurse Practitioner 1052833811 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Centered Counseling, PC Psychiatry CurrentSince Mar 1, 2025 Accepting new patients
Heart Centered Counseling, PC Psychiatry Current Accepting new patients
Heart Centered Counseling, PC Psychiatry CurrentSince Mar 1, 2025 Accepting new patients

Locations

1330 Inverness Dr
Ste 400
Colorado Springs, CO 80910
Phone (412) 996-8194

1770 25th Ave
Ste 206
Greeley, CO 80634
Phone (303) 664-5281

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.alexzandranicolelopez@146010.advancedmd-direct.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1104676444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4834 JEDEDIAH SMITH RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809221665",
            "telephone_number": "847-532-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 INVERNESS DR STE 400",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103739",
            "telephone_number": "970-310-3406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2739 E Las Vegas St",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809061594",
            "country_code": "US",
            "telephone_number": "719-390-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ALEXZANDRA",
        "middle_name": "NICOLE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-26",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0999632-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXZANDRA",
            "last_name": "PLANICA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.