Individual provider Active NPI

Lamija Quinonez, NP

  • Family Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1316651540
Registry record updated Aug 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0998364.NP Issued in CO
Practice address
2997 Broadmoor Valley Rd
Colorado Springs, CO 80906-4405
Phone
(303) 881-0792
Fax
(720) 792-9743
NPI assigned
Jan 11, 2023
Last updated
Aug 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2024

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 APN.0998364.NP CO Primary
Primary Care Nurse Practitioner 363LP2300X F01230508 CO

Addresses

Primary practice location

2997 Broadmoor Valley Rd
Colorado Springs, CO 80906-4405

Mailing address

2997 Broadmoor Valley Rd
Colorado Springs, CO 80906-4405
Phone (303) 881-0792

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
I20230209001997 CO Practitioner - Nurse Practitioner 9638428980 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2997 Broadmoor Valley Rd
Colorado Springs, CO 80906-4405
Phone (303) 881-0792

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F01230508COMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Goodness Health, LLC CurrentSince Jul 18, 2023 Accepting new patients
Wound and Family Practice of the Rockies, LLC Family CurrentSince Oct 9, 2023 Accepting new patients
Firstdoc PC CurrentSince Aug 1, 2024 Accepting new patients
Goodness Health, LLC CurrentSince Jul 18, 2023 Accepting new patients
Homedoc, PC CurrentSince Sep 29, 2024 Accepting new patients

Locations

1763 S 8th St
Ste 4
Colorado Springs, CO 80905
Phone (720) 792-9343

2997 Broadmoor Valley Rd
Colorado Springs, CO 80906
Phone (719) 203-4723

1690 Meade St
Denver, CO 80204
Phone (303) 264-6854

8354 E Northfield Blvd
#329
Denver, CO 80238
Phone (720) 607-9207

615 Fairhurst St
Sterling, CO 80751
Phone (970) 521-0322

Organizations & group practices 5

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": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724457600000",
    "number": "1316651540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2997 BROADMOOR VALLEY RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064405",
            "telephone_number": "303-881-0792",
            "fax_number": "720-792-9743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2997 BROADMOOR VALLEY RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064405",
            "telephone_number": "303-881-0792",
            "fax_number": "720-792-9743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINONEZ",
        "first_name": "LAMIJA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-11",
        "last_updated": "2024-08-24",
        "certification_date": "2024-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0998364.NP",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CO",
            "license": "F01230508",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.