Individual provider Active NPI

Tecie Haller, CRNP

  • Adult Health Nurse Practitioner
  • Aurora, CO
National Provider Identifier
1114387289
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APN.0994529-NP Issued in CO
Practice address
1665 Aurora CT
Aurora, CO 80045-2517
Phone
(720) 848-0000
NPI assigned
Mar 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN.0994529-NP CO
Acute Care Nurse Practitioner 363LA2100X 1-135789 AL
Gerontology Nurse Practitioner 363LG0600X 1-135789 AL
Adult Health Nurse Practitioner 363LA2200X APN.0994529-NP CO Primary

Addresses

Primary practice location

1665 Aurora CT
Aurora, CO 80045-2517

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other practice location 1

525 Bob Peters Grv
Colorado Springs, CO 80909-4533
Phone (719) 365-6800

Other practice location 2

10107 Ridgegate Pkwy Ste 200
Lone Tree, CO 80124-5641
Phone (303) 925-0700

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
I20191211002233 CO Practitioner - Nurse Practitioner 5799057675 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Physicians IncorporatedGroup PAC ID 3476465667, 3,189 clinicians

Practice addresses (Care Compare)

12605 E 16TH Ave
Uchealth Anschutz Medical Campus
Aurora, CO 80045-2545
Phone (720) 848-0000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0994529-NPCOMDNurse Practitioner
1-135789ALMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Cancer Centers LLP Nurse Practitioner CurrentSince Nov 1, 2019 Accepting new patients
University Physicians, Incorporated CurrentSince Jul 11, 2022 Accepting new patients
University Physicians Incorporated Nurse Practitioner Current Accepting new patients
Rocky Mountain Cancer Centers, LLP CurrentSince Nov 1, 2019 Accepting new patients
University Physicians Incorporated CurrentSince Jul 11, 2022 Accepting new patients
Khalid Chowdhury MD, PC PastSince Feb 12, 2013 Accepting new patients

Locations

1665 Aurora Ct
Aurora, CO 80045
Phone (303) 724-2066

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006

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

4080 Briargate Pkwy
Colorado Springs, CO 80920
Phone (719) 365-5740

4050 Briargate Pkwy
Colorado Springs, CO 80920
Phone (719) 364-5000

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

525 Bob Peters Grv
Colorado Springs, CO 80909
Phone (719) 365-6800

2312 N Nevada Ave
Ste 400
Colorado Springs, CO 80907
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

Dept 1061
Denver, CO 80256

7951 E Maplewood Ave
Ste 350
Greenwood Village, CO 80111

10107 Ridgegate Pkwy
Ste 200
Lone Tree, CO 80124
Phone (303) 925-0700

Organizations & group practices 6

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.

Hospital & facility affiliations 27

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1114387289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110429",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800420429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 AURORA CT",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452517",
            "telephone_number": "720-848-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Bob Peters Grv",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809094533",
            "country_code": "US",
            "telephone_number": "719-365-6800",
            "fax_number": "719-365-5740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10107 Ridgegate Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lone Tree",
            "state": "CO",
            "postal_code": "801245641",
            "country_code": "US",
            "telephone_number": "303-925-0700",
            "fax_number": "303-329-2599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALLER",
        "first_name": "TECIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-02",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0994529-NP",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-135789",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AL",
            "license": "1-135789",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "APN.0994529-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.