Individual provider Active NPI

Carol Fern Halle, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1154379337
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10309 Issued in CO
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101202000974 CO Practitioner - Nurse Practitioner 5193912186 Reassigns benefits to 1 organization

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
William Storms Allergy Clinic PCGroup PAC ID 7810925781, 12 clinicians

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

LicenseStateTypeSpecialty
10309COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
William Storms Allergy Clinic PC CurrentSince Aug 26, 2010 Accepting new patients
William Storms Allergy Clinic PC Current Accepting new patients
William Storms Allergy Clinic PC CurrentSince Aug 26, 2010 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.

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

Verify at the official NPI Registry.