Active NPI
Laura Tullis, APRN
- Critical Care Pediatric Nurse Practitioner
- Colorado Springs, CO
National Provider Identifier
1124933882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Pediatric Nurse Practitioner
- License
- 1002292-NP
- Practice address
- 1465 Kelly Johnson Blvd Ste 310
Colorado Springs, CO 80920-3947 - Phone
- (719) 726-6573
- NPI assigned
- Aug 17, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Pediatric Nurse Practitioner | 363LP0222X | 1002292-NP | CO | Primary |
Addresses
Primary practice location
1465 Kelly Johnson Blvd Ste 310
Colorado Springs, CO 80920-3947
Mailing address
7730 Manston Dr
Colorado Springs, CO 80920-8073
Phone (719) 726-6573
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786924800000",
"number": "1124933882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7730 MANSTON DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809208073",
"telephone_number": "719-726-6573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1465 KELLY JOHNSON BLVD STE 310",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809203947",
"telephone_number": "719-726-6573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TULLIS",
"first_name": "LAURA",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-17",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0222X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics, Critical Care",
"state": "CO",
"license": "1002292-NP",
"primary": true
}
],
"identifiers": [],
"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 Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.