Individual provider Active NPI

Cheryl Ann Spice, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1285288639
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0998539 Issued in CO
Practice address
774 Airman LN
Colorado Springs, CO 80921-4804
Phone
(719) 205-4864
NPI assigned
Jul 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC.0018311 CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0998539 CO Primary

Addresses

Primary practice location

774 Airman LN
Colorado Springs, CO 80921-4804

Mailing address

774 Airman LN
Colorado Springs, CO 80921-4804
Phone (719) 205-4864

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
I20240117000932 CO Practitioner - Nurse Practitioner 3072965920 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LPC.0018311COMDProfessional Counselor
APN.0998539COMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Feb 28, 2025 Accepting new patients
Thriveworks Clinical - Colorado PC Mental Health CurrentSince Jul 28, 2025 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince May 1, 2025 Accepting new patients
Abiding Health Psychiatry LLC Professional Current Accepting new patients
Peak Vista Community Health Centers CurrentSince Dec 1, 2023 Accepting new patients
Peak Vista Community Health Centers CurrentSince Dec 1, 2023 Accepting new patients
Milestone Psychiatry Inc. Psychiatric/Mental Health PastSince Dec 10, 2023 Accepting new patients
Milestone Psychiatry Inc Psychiatric/Mental Health PastSince Mar 1, 2023 Accepting new patients
Life Rocks LLC Professional PastSince Jul 28, 2019 Accepting new patients

Locations

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

5755 Mark Dabling Blvd
Ste 360
Colorado Springs, CO 80919
Phone (303) 376-8376

5410 Powers Center Pt
Ste 210
Colorado Springs, CO 80920
Phone (719) 203-2014

3205 N Academy Blvd
Ste 130
Colorado Springs, CO 80917
Phone (719) 344-6873

1560 Broadway
Denver, CO 80202
Phone (623) 363-6103

1560 Broadway
Ste 1600
Denver, CO 80202
Phone (480) 493-0900

5445 Dtc Pkwy
Ph 4
Greenwood Village, CO 80111
Phone (720) 571-4874

Organizations & group practices 9

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": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1285288639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 AIRMAN LN",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809214804",
            "telephone_number": "719-205-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 AIRMAN LN",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809214804",
            "telephone_number": "719-205-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPICE",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0018311",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0998539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.