Individual provider Active NPI

Kayleigh Lauren Granzella, NP

  • Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1295595189
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN.0999597 Issued in CO
Practice address
5475 Tech Center Dr Ste 105
Colorado Springs, CO 80919-2336
Phone
(719) 223-4621
NPI assigned
Mar 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN.0999597 CO Primary

Addresses

Primary practice location

5475 Tech Center Dr Ste 105
Colorado Springs, CO 80919-2336

Mailing address

5475 Tech Center Dr Ste 105
Colorado Springs, CO 80919-2336
Phone (719) 223-4621

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
I20251003000377 CO Practitioner - Nurse Practitioner 8426586868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

5475 Tech Ctr Dr
Suite 105
Colorado Springs, CO 80919-2336
Phone (719) 226-0091

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0999597COMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Life Choice Hospice of Colorado II, LLC CurrentSince Aug 11, 2025 Accepting new patients
Life Choice Hospice of Colorado II, LLC Past Accepting new patients

Locations

5475 Tech Center Dr
Ste 105
Colorado Springs, CO 80919
Phone (719) 223-4621

10 Cadillac Dr
Ste 300
Brentwood, TN 37027

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": "1710806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1295595189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5475 TECH CENTER DR STE 105",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809192336",
            "telephone_number": "719-223-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5475 TECH CENTER DR STE 105",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809192336",
            "telephone_number": "719-223-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANZELLA",
        "first_name": "KAYLEIGH",
        "middle_name": "LAUREN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-19",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0999597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.