Individual provider Active NPI

Kimberly Frances Vialpando, PMHNP-BC, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1215547286
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0995707 Issued in CO
Practice address
1115 Elkton Dr Ste 300
Colorado Springs, CO 80907-3597
Phone
(719) 502-7031
NPI assigned
Aug 5, 2020
Last updated
Jan 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0995707-NP CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0995707 CO Primary

Addresses

Primary practice location

1115 Elkton Dr Ste 300
Colorado Springs, CO 80907-3597

Mailing address

410 N 15TH St
Colorado Springs, CO 80904-3958
Phone (719) 502-7031

Other practice location 1

216 S 11th St
Colorado Springs, CO 80904-4300
Phone (719) 502-7031

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
I20211115001214 CO Practitioner - Nurse Practitioner 8820487788 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vialpando Complete Care LLCGroup PAC ID 6002359817, 2 clinicians

Practice addresses (Care Compare)

5390 N Academy Blvd
Suite 330
Colorado SPGS, CO 80918-4176
Phone (720) 778-0513

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0995707COMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve Whole Recovery, PC CurrentSince Nov 8, 2021 Accepting new patients
Achieve Whole Recovery, PC CurrentSince Nov 8, 2021 Accepting new patients
Vialpando Complete Care LLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

5390 N Academy Blvd
Ste 330
Colorado Springs, CO 80918
Phone (719) 314-7623

1115 Elkton Dr
Ste 300
Colorado Springs, CO 80907
Phone (719) 357-6471

1905 N Sherman St
Ste 900
Denver, CO 80203
Phone (303) 749-5150

8380 Zuni St
Ste 305
Westminster, CO 80221
Phone (719) 357-6471

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": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1215547286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N 15TH ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809043958",
            "telephone_number": "719-502-7031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 ELKTON DR STE 300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073597",
            "telephone_number": "719-502-7031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "216 S 11th St",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809044300",
            "country_code": "US",
            "telephone_number": "719-502-7031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIALPANDO",
        "first_name": "KIMBERLY",
        "middle_name": "FRANCES",
        "credential": "PMHNP-BC, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0995707-NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "0995707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.