Active NPI
Pikes Peak Visiting Providers LLC
- Primary Care Nurse Practitioner
- Colorado Springs, CO
National Provider Identifier
1114535879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- PIKES PEAK VISITING PROVIDERS LLC
- Practice address
- 818 E Caramillo St
Colorado Springs, CO 80907-7704 - Phone
- (719) 244-8658
- NPI assigned
- Jul 20, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jocelyn Reeves, NP-C
- Title
- Provider
- Phone
- (719) 459-0981
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | |||
| Adult Health Nurse Practitioner | 363LA2200X | |||
| Gerontology Nurse Practitioner | 363LG0600X | |||
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
818 E Caramillo St
Colorado Springs, CO 80907-7704
Mailing address
818 E Caramillo St
Colorado Springs, CO 80907-7704
Phone (719) 459-0981
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0995294 | Other | CO | STATE APN LICENSE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595203200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658620800000",
"number": "1114535879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "818 E CARAMILLO ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809077704",
"telephone_number": "719-459-0981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 E CARAMILLO ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809077704",
"telephone_number": "719-244-8658"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIKES PEAK VISITING PROVIDERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-20",
"last_updated": "2022-07-24",
"certification_date": "2022-07-24",
"status": "A",
"authorized_official_last_name": "REEVES",
"authorized_official_first_name": "JOCELYN",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "719-459-0981",
"authorized_official_credential": "NP-C"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE APN LICENSE",
"identifier": "0995294",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.