Individual provider Active NPI

Jesusita Elvira Tafoya, AGACNP-BC, FNP-BC

  • Family Nurse Practitioner
  • Pueblo, CO
National Provider Identifier
1225543945
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0993590-NP Issued in CO
Practice address
416 Colorado Ave
Pueblo, CO 81004-2011
Phone
(719) 924-9128
Fax
(719) 924-8053
NPI assigned
Dec 4, 2017
Last updated
Dec 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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 0993590-NP CO Primary

Addresses

Primary practice location

416 Colorado Ave
Pueblo, CO 81004-2011

Mailing address

11 Churchill PL
Pueblo, CO 81001-2124
Phone (719) 406-5291

Other practice location 1

6465 Greenwood Plaza Blvd Ste 300
Greenwood Village, CO 80111-7101
Phone (719) 250-2251

Other practice location 2

400 W 16th St
Pueblo, CO 81003-2745
Phone (719) 584-4000 ext. 6404

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
I20190128001099 CO Practitioner - Nurse Practitioner 6204173354 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

416 Colorado Ave
Pueblo, CO 81004-2011
Phone (719) 924-9128

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0993590-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pueblo Community Health Center Inc CurrentSince Jan 10, 2021 Accepting new patients
Signify Health Medical Associates of Colorado, PLLC. CurrentSince Sep 1, 2023 Accepting new patients
Pueblo Community Health Center Inc CurrentSince Jan 10, 2021 Accepting new patients
Tafoya Family Practice LLC CurrentSince Mar 6, 2024 Accepting new patients

Locations

7900 E Union Ave
Ste 1100
Denver, CO 80237
Phone (469) 466-7420

300 Colorado Ave
Pueblo, CO 81004
Phone (719) 543-8718

416 Colorado Ave
Pueblo, CO 81004
Phone (719) 320-1256

517 Colorado Ave
Ste B
Pueblo, CO 81004
Phone (719) 924-9128

110 E Routt Ave
Pueblo, CO 81004
Phone (719) 543-8718

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGDFDD/Endpoint/BGDFDD

Organizations & group practices 4

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": "1512345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1225543945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CHURCHILL PL",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810012124",
            "telephone_number": "719-406-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 COLORADO AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810042011",
            "telephone_number": "719-924-9128",
            "fax_number": "719-924-8053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6465 Greenwood Plaza Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Greenwood Village",
            "state": "CO",
            "postal_code": "801117101",
            "country_code": "US",
            "telephone_number": "719-250-2251",
            "fax_number": "844-405-2261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 W 16th St",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810032745",
            "country_code": "US",
            "telephone_number": "719-584-4000 x6404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAFOYA",
        "first_name": "JESUSITA",
        "middle_name": "ELVIRA",
        "credential": "AGACNP-BC, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-04",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0993590-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.