Active NPI
Kati Jo Foechterle, MS,AGACNP, FNP
- Family Nurse Practitioner
- Pueblo, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN.0991482-NP
- Practice address
- 1600 N Grand Ave
Suite 140
Pueblo, CO 81003-2700 - Phone
- (719) 564-1542
- NPI assigned
- Nov 3, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN.0991482-NP | CO | Primary |
| Acute Care Nurse Practitioner | 363LA2100X | APN.0991482-NP | CO |
Addresses
Primary practice location
1600 N Grand Ave
Suite 140
Pueblo, CO 81003-2700
Mailing address
1600 N Grand Ave
Suite 140
Pueblo, CO 81003-2700
Phone (719) 564-1542
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150409001783 | CO | Practitioner - Nurse Practitioner | 1052639705 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Poudre Valley Medical Group LLC
Practice addresses (Care Compare)
106 Blanca Ave
Alamosa, CO 81101-2340
Phone (719) 589-8091
1600 N Grand Ave
Suite 140
Pueblo, CO 81003-2755
Phone (719) 564-1542
400 W 16TH St
Pueblo, CO 81003-2745
Phone (719) 584-4921
410 Benedicta Ave
Trinidad, CO 81082-2005
Phone (719) 845-4243
4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260
Hospital & facility affiliations
- Parkview Medical Center, Inc
- St Mary-Corwin Hospital
- San Luis Valley Regional Medical Center
- Mt San Rafael Hospital
- Arkansas Valley Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN.0991482-NP | CO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients |
Locations
106 Blanca Ave
Alamosa, CO 81101
Phone (719) 589-2511
4404 Barranca Ln
Unit 101
Castle Rock, CO 80104
Phone (720) 733-5260
4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260
8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633
1600 N Grand Ave
Ste 140
Pueblo, CO 81003
Phone (719) 564-1542
1619 N Greenwood St
Ste 106
Pueblo, CO 81003
Phone (719) 595-7760
58 Club Manor Dr
Pueblo, CO 81008
Phone (719) 584-4045
410 Benedicta Ave
Trinidad, CO 81082
Phone (719) 846-8051
Organizations & group practices 2
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.
-
- General Practice Physician
- Loveland, CO
- NPI 1366763260
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- La Junta, CO
- NPI 1760489470
Hospital
-
- Nursing Facility/Intermediate Care Facility
- Pueblo, CO
- NPI 1942391487
Hospital
-
- General Acute Care Hospital
- Alamosa, CO
- NPI 1235181744
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467158400000",
"number": "1124423116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 N GRAND AVE",
"address_2": "SUITE 140",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810032700",
"telephone_number": "719-564-1542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 N GRAND AVE",
"address_2": "SUITE 140",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810032700",
"telephone_number": "719-564-1542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOECHTERLE",
"first_name": "KATI",
"middle_name": "JO",
"name_prefix": "Mrs.",
"credential": "MS,AGACNP, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-03",
"last_updated": "2016-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "APN.0991482-NP",
"primary": true
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CO",
"license": "APN.0991482-NP",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.