NPIMap

Individual provider Active NPI

Aleathia Channel Ware, FNP

  • Family Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1184858581
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
110229 / 5996 Issued in CO
Practice address
6140 Tutt Blvd Ste 200
Colorado Springs, CO 80923
Phone
(719) 380-6800
Fax
(719) 380-6815
NPI assigned
May 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN0005996-NP CO
Family Nurse Practitioner 363LF0000X 110229 / 5996 CO Primary

Addresses

Primary practice location

6140 Tutt Blvd Ste 200
Colorado Springs, CO 80923

Mailing address

6140 Tutt Blvd Ste 200
Colorado Springs, CO 80923-3576
Phone (719) 380-6800

Other identifiers 1

IdentifierTypeStateIssuer
91224560MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100128000393 CO Practitioner - Nurse Practitioner 5597807503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Restore Health Family PracticeGroup PAC ID 9537577762, 3 clinicians

Practice addresses (Care Compare)

1235 Lake Plaza Dr
Suite 220
Colorado Springs, CO 80906-3556
Phone (719) 292-5051

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN0005996-NPCOMDNurse Practitioner
110229 / 5996COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Restore Health Family Practice CurrentSince Apr 1, 2021 Accepting new patients

Locations

1235 Lake Plaza Dr
Ste 220
Colorado Springs, CO 80906
Phone (719) 292-5051

555 E Costilla St
Ste 106
Colorado Springs, CO 80903

Interoperability endpoints

  • Direct secure messaging: restorehealthfamilypractice.aleathiaware@151613.advancedmd-direct.com

Organizations & group practices 1

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.

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1184858581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6140 TUTT BLVD STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809233576",
            "telephone_number": "719-380-6800",
            "fax_number": "719-380-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 TUTT BLVD STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80923",
            "telephone_number": "719-380-6800",
            "fax_number": "719-380-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARE",
        "first_name": "ALEATHIA",
        "middle_name": "CHANNEL",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-13",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN0005996-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "110229 / 5996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91224560",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.