Individual provider Active NPI

Taylor Nicole Knese, MSN, FNP-C

  • Family Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1235605007
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
C-APN.0001277-C-NP Issued in CO
Practice address
1855 Telstar Dr # A02
Colorado Springs, CO 80920-1005
Phone
(719) 533-8586
Fax
(719) 265-3019
NPI assigned
Oct 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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 AP139146 TX
Family Nurse Practitioner 363LF0000X C-APN.0001277-C-NP CO Primary

Addresses

Primary practice location

1855 Telstar Dr # A02
Colorado Springs, CO 80920-1005

Mailing address

PO Box 746081
Atlanta, GA 30374-6081
Phone (312) 733-9730

Other practice location 1

632 Broadway Ph
New York, NY 10012-2614
Phone (800) 731-4254

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
I20190107003065 CO Practitioner - Nurse Practitioner 5092051466 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
C-APN.0001277-C-NPCOMDFamily Nurse Practitioner
AP139146TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group of Colorado, PLLC Family CurrentSince Apr 8, 2023 Accepting new patients
Oak Street Health Physicians Group of Colorado, PLLC Family CurrentSince Apr 8, 2023 Accepting new patients
Oak Street Health Physicians Group of Colorado, PLLC Family Current Accepting new patients

Locations

4380 Austin Bluffs Pkwy
Colorado Springs, CO 80918
Phone (719) 454-6010

2877 E Fountain Blvd
Colorado Springs, CO 80910
Phone (719) 454-6009

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1235605007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746081",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746081",
            "telephone_number": "312-733-9730",
            "fax_number": "773-866-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 TELSTAR DR # A02",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201005",
            "telephone_number": "719-533-8586",
            "fax_number": "719-265-3019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "632 Broadway Ph",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100122614",
            "country_code": "US",
            "telephone_number": "800-731-4254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNESE",
        "first_name": "TAYLOR",
        "middle_name": "NICOLE",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-19",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139146",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0001277-C-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.