Individual provider Active NPI

Ann Thurston, N.P.

  • Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1295707032
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
110145 Issued in CO
Practice address
2880 International Cir # N010
Colorado Springs, CO 80910-3127
Phone
(719) 520-7080
Fax
(719) 520-7086
NPI assigned
Feb 6, 2006
Last updated
Nov 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 110145 CO Primary
Family Nurse Practitioner 363LF0000X 110145 CO

Addresses

Primary practice location

2880 International Cir # N010
Colorado Springs, CO 80910-3127

Mailing address

2880 International Cir # N010
Colorado Springs, CO 80910-3127
Phone (719) 520-7080

Other identifiers 2

IdentifierTypeStateIssuer
92958541MedicaidCO
808795OtherCOMEMORIAL HEALTH SYSTEMS MEDICARE

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
I20031110000549 CO Practitioner - Nurse Practitioner 5597678177 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
110145COMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premise Health of Colorado Medical PC CurrentSince May 11, 2016 Accepting new patients
Premise Health of Colorado Medical PC CurrentSince May 11, 2016 Accepting new patients
Uch-MHS Past Accepting new patients

Locations

1675 Garden of the Gods Rd
Ste 1053
Colorado Springs, CO 80907
Phone (719) 520-7601

2880 International Cir
#N10
Colorado Springs, CO 80910
Phone (719) 520-7080

5500 Maryland Way
Ste 120
Brentwood, TN 37027

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, 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": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1295707032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 INTERNATIONAL CIR # N010",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103127",
            "telephone_number": "719-520-7080",
            "fax_number": "719-520-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 INTERNATIONAL CIR # N010",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103127",
            "telephone_number": "719-520-7080",
            "fax_number": "719-520-7086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURSTON",
        "first_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "110145",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "110145",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "92958541",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEMORIAL HEALTH SYSTEMS MEDICARE",
            "identifier": "808795",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.