Individual provider Active NPI

Kelly Eskew

  • Family Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1306977483
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
189142 Issued in CO
Practice address
1625 Medical Center PT
Suite 190
Colorado Springs, CO 80907-8731
Phone
(719) 955-6000
Fax
(719) 955-9595
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 640191 TX
Family Nurse Practitioner 363LF0000X 189142 CO Primary

Addresses

Primary practice location

1625 Medical Center PT
Suite 190
Colorado Springs, CO 80907-8731

Mailing address

1625 Medical Center PT
Suite 190
Colorado Springs, CO 80907-8731
Phone (719) 955-6000

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
I20091022000539 CO Practitioner - Nurse Practitioner 9133283575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
William Storms Allergy Clinic PCGroup PAC ID 7810925781, 12 clinicians

Practice addresses (Care Compare)

1625 Medical Ctr PT
Suite 190
Colorado Springs, CO 80907-8721
Phone (719) 955-6000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
189142COMDFamily Nurse Practitioner
640191TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
William Storms Allergy Clinic PC CurrentSince Dec 16, 2011 Accepting new patients
William Storms Allergy Clinic PC CurrentSince Dec 16, 2011 Accepting new patients

Locations

4535 Milestone Ln
Ste Bc
Castle Rock, CO 80104
Phone (720) 547-3151

19245 E Smoky Hill Rd
Unit A
Centennial, CO 80015
Phone (303) 468-8668

1625 Medical Center Pt
Ste 190
Colorado Springs, CO 80907
Phone (719) 345-1047

830 Tenderfoot Hill Rd
Ste 350
Colorado Springs, CO 80906
Phone (719) 345-1047

6160 Tutt Blvd
Ste 210
Colorado Springs, CO 80923
Phone (719) 345-1047

255 Union Blvd
Ste 400
Lakewood, CO 80228
Phone (720) 263-0214

13701 W Jewell Ave
Ste 101
Lakewood, CO 80228
Phone (303) 989-3192

1315 S Pueblo Blvd
Pueblo, CO 81005
Phone (719) 561-3795

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": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1306977483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 MEDICAL CENTER PT",
            "address_2": "SUITE 190",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809078731",
            "telephone_number": "719-955-6000",
            "fax_number": "719-955-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 MEDICAL CENTER PT",
            "address_2": "SUITE 190",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809078731",
            "telephone_number": "719-955-6000",
            "fax_number": "719-955-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESKEW",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "640191",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "189142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.