Individual provider Active NPI

Emily Anne Souders, DNP, FNP-BC, APN

  • Family Nurse Practitioner
  • Fort Collins, CO
National Provider Identifier
1245014828
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
C-APN.0102892-C-NP Issued in CO
Practice address
2121 E Harmony Rd Unit 100
Fort Collins, CO 80528-3401
Phone
(765) 404-8359
NPI assigned
Aug 23, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 28243824A IN
Family Nurse Practitioner 363LF0000X C-APN.0102892-C-NP CO Primary

Addresses

Primary practice location

2121 E Harmony Rd Unit 100
Fort Collins, CO 80528-3401

Mailing address

2121 E Harmony Rd Unit 100
Fort Collins, CO 80528-3401
Phone (765) 404-8359

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
I20241127000834 CO Practitioner - Nurse Practitioner 8921533951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Square One Health LLCGroup PAC ID 9436555018, 3 clinicians

Practice addresses (Care Compare)

257 Boardwalk Dr
Fort Collins, CO 80525-3661
Phone (970) 207-4463

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28243824AINMDCritical Care Medicine Registered Nurse
C-APN.0102892-C-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Square One Health LLC CurrentSince Oct 20, 2024 Accepting new patients
Gubbels Chiropractic & Wellness Center PastSince Oct 13, 2024 Accepting new patients

Locations

257 Boardwalk Dr
Fort Collins, CO 80525
Phone (970) 207-4046

Organizations & group practices 2

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": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1245014828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 E HARMONY RD UNIT 100",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283401",
            "telephone_number": "765-404-8359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E HARMONY RD UNIT 100",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283401",
            "telephone_number": "765-404-8359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUDERS",
        "first_name": "EMILY",
        "middle_name": "ANNE",
        "credential": "DNP, FNP-BC, APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-23",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "IN",
            "license": "28243824A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0102892-C-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.