Active NPI
Kelsie Jean Eversole
- Electroneurodiagnostic Specialist/Technologist
- Colorado Springs, CO
National Provider Identifier
1326790981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- Practice address
- 24 S Weber St Ste 200
Colorado Springs, CO 80903-1928 - Phone
- (270) 993-5554
- NPI assigned
- Jan 24, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | Primary |
Addresses
Primary practice location
24 S Weber St Ste 200
Colorado Springs, CO 80903-1928
Mailing address
2502 Whirlaway Dr
Owensboro, KY 42301-4121
Phone (270) 993-5554
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | USMON | Health Information Exchange (HIE) | US Monitoring, INC. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642982400000",
"number": "1326790981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2502 WHIRLAWAY DR",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423014121",
"telephone_number": "270-993-5554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 S WEBER ST STE 200",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809031928",
"telephone_number": "270-993-5554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVERSOLE",
"first_name": "KELSIE",
"middle_name": "JEAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-24",
"last_updated": "2022-01-24",
"certification_date": "2022-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "USMON",
"affiliation": "Y",
"endpointDescription": "IONM workflow system that stores EMR",
"affiliationName": "US Monitoring, INC.",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "IONM monitoring platform",
"address_1": "24 S Weber St Ste 200",
"city": "Colorado Springs",
"state": "CO",
"country_code": "US",
"postal_code": "809031928",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.