Individual provider Active NPI

Anita J Sickels, NP

  • Adult Health Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1235269358
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
MS0619277 Issued in IN
Practice address
2610 Tenderfoot Hill St
Colorado Springs, CO 80906-3981
Phone
(719) 538-5718
Fax
(719) 226-8669
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X MS0619277 IN Primary

Addresses

Primary practice location

2610 Tenderfoot Hill St
Colorado Springs, CO 80906-3981

Mailing address

2 S Cascade Ave
Ste 140
Colorado Springs, CO 80903-1604
Phone (765) 289-5006

Other identifiers 1

IdentifierTypeStateIssuer
000000273496OtherINBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1235269358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 S CASCADE AVE",
            "address_2": "STE 140",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031604",
            "telephone_number": "765-289-5006",
            "fax_number": "765-213-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 TENDERFOOT HILL ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063981",
            "telephone_number": "719-538-5718",
            "fax_number": "719-226-8669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICKELS",
        "first_name": "ANITA",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "MS0619277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000273496",
            "state": "IN"
        }
    ],
    "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 Jun 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.