Active NPI
Anita J Sickels, NP
- Adult Health Nurse Practitioner
- Colorado Springs, CO
National Provider Identifier
1235269358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- MS0619277
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000273496 | Other | IN | BCBS |
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.