Individual provider Active NPI

Christina Marie Lytle, FNP

  • Family Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1255912788
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0997152-NP Issued in CO
Practice address
320 E Fontanero St Ste 308
Colorado Springs, CO 80907-7526
Phone
(719) 577-4200
Fax
(719) 442-6595
NPI assigned
Apr 16, 2021
Last updated
Mar 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.1678467 CO
Family Nurse Practitioner 363LF0000X 29773 TN
Family Nurse Practitioner 363LF0000X RXN.0106175-NP CO
Family Nurse Practitioner 363LF0000X APN.0997152-NP CO Primary

Addresses

Primary practice location

320 E Fontanero St Ste 308
Colorado Springs, CO 80907-7526

Mailing address

1074 Golden Pine LN
Monument, CO 80132-9347
Phone (731) 618-7597

Other practice location 1

1074 Golden Pine Ln
Monument, CO 80132-9347
Phone (731) 618-7597

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
I20210805001887 CO Practitioner - Nurse Practitioner 3173927688 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.1678467COMDRegistered Nurse
RXN.0106175-NPCOMDFamily Nurse Practitioner
29773TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Little Clinic of Colorado, LLC Family CurrentSince Aug 18, 2021 Accepting new patients
Kids Are Great Pediatrics Past Accepting new patients

Locations

1750 W Uintah St
Colorado Springs, CO 80904
Phone (719) 325-0344

3620 Austin Bluffs Pkwy
Colorado Springs, CO 80918
Phone (719) 325-0342

7984 W Alameda Ave
Lakewood, CO 80226
Phone (303) 459-7105

2620 Elm Hill Pike
Nashville, TN 37214
Phone (615) 425-4211

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, 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": "1618531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1255912788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1074 GOLDEN PINE LN",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801329347",
            "telephone_number": "731-618-7597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E FONTANERO ST STE 308",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809077526",
            "telephone_number": "719-577-4200",
            "fax_number": "719-442-6595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1074 Golden Pine Ln",
            "address_purpose": "LOCATION",
            "city": "Monument",
            "state": "CO",
            "postal_code": "801329347",
            "country_code": "US",
            "telephone_number": "731-618-7597",
            "fax_number": "719-297-3991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYTLE",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-16",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.1678467",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "29773",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "RXN.0106175-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0997152-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.