Active NPI
Carol Fern Halle, NURSE PRACTITIONER
- Family Nurse Practitioner
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 10309
- Practice address
- 1625 Medical Center PT Ste 190
Colorado Springs, CO 80907-8721 - Phone
- (719) 955-6000
- Fax
- (719) 955-9595
- NPI assigned
- May 4, 2006
- Last updated
- Aug 7, 2019
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 10309 | CO | Primary |
Addresses
Primary practice location
1625 Medical Center PT Ste 190
Colorado Springs, CO 80907-8721
Mailing address
5442 Campglenn
Colorado Springs, CO 80906
Phone (719) 201-8166
Other practice location 1
1650 Cochrane Cir
Fort Carson, CO 80913-4603
Phone (719) 526-7750
Other practice location 2
1263 Lake Plaza Dr Ste 230
Colorado Springs, CO 80906-3512
Phone (719) 345-1047
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1625 Medical Ctr PT
Suite 190
Colorado Springs, CO 80907-8721
Phone (719) 955-6000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10309 | CO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William Storms Allergy Clinic PC | Current | Accepting new patients | |
| William Storms Allergy Clinic PC | Current | Accepting new patients | |
| William Storms Allergy Clinic PC | Current | Accepting new patients |
Locations
19245 E Smoky Hill Rd
Unit A
Centennial, CO 80015
Phone (303) 468-8668
1263 Lake Plaza Dr
Ste 230
Colorado Springs, CO 80906
Phone (719) 345-1047
1625 Medical Center Pt
Ste 190
Colorado Springs, CO 80907
Phone (719) 345-1047
830 Tenderfoot Hill Rd
Ste 350
Colorado Springs, CO 80906
Phone (719) 345-1047
255 Union Blvd
Ste 400
Lakewood, CO 80228
Phone (303) 985-2550
1315 S Pueblo Blvd
Pueblo, CO 81005
Phone (719) 561-3795
5929 Balcones Dr
Ste 200
Austin, TX 78731
Phone (512) 222-5856
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Allergy & Immunology Physician
- Colorado Springs, CO
- NPI 1184635914
-
dba Aspire Allergy & Sinus
- Allergy Physician
- Colorado Springs, CO
- NPI 1073120945
-
dba Aspire Allergy & Sinus
- Allergy Physician
- Colorado Springs, CO
- NPI 1497362362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565136000000",
"number": "1154379337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5442 CAMPGLENN",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80906",
"telephone_number": "719-201-8166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 MEDICAL CENTER PT STE 190",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809078721",
"telephone_number": "719-955-6000",
"fax_number": "719-955-9595"
}
],
"practiceLocations": [
{
"address_1": "1650 Cochrane Cir",
"address_purpose": "LOCATION",
"city": "Fort Carson",
"state": "CO",
"postal_code": "809134603",
"country_code": "US",
"telephone_number": "719-526-7750",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1263 Lake Plaza Dr Ste 230",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809063512",
"country_code": "US",
"telephone_number": "719-345-1047",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALLE",
"first_name": "CAROL",
"middle_name": "FERN",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-04",
"last_updated": "2019-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "10309",
"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 7, 2019; 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.