Individual provider Active NPI

Amanda Politte Easter, RN

  • Registered Nurse
  • Colorado Springs, CO
National Provider Identifier
1124984869
Registry record updated Dec 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
1693755 Issued in CO
Practice address
559 Vincent St
Space Base Delta 1, Peterson Space Force Base
Colorado Springs, CO 80914-1541
Phone
(719) 556-5209
Fax
(719) 556-1226
NPI assigned
Dec 26, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X 1693755 CO Primary

Addresses

Primary practice location

559 Vincent St
Space Base Delta 1, Peterson Space Force Base
Colorado Springs, CO 80914-1541

Mailing address

3150 Windjammer Dr
Colorado Springs, CO 80920-4444
Phone (832) 341-3890

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1693755COMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1766707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766707200000",
    "number": "1124984869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 WINDJAMMER DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809204444",
            "telephone_number": "832-341-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 VINCENT ST",
            "address_2": "SPACE BASE DELTA 1, PETERSON SPACE FORCE BASE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809141541",
            "telephone_number": "719-556-5209",
            "fax_number": "719-556-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTER",
        "first_name": "AMANDA",
        "middle_name": "POLITTE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-26",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "1693755",
            "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 Dec 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.