NPIMap

Individual provider Active NPI

Kristie Lamotta, FNP-BC

  • Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1356992606
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0994643 Issued in CO
Practice address
1220 Lake Plaza Dr Ste 150
Colorado Springs, CO 80906-3548
Phone
(719) 365-3600
Fax
(719) 365-3601
NPI assigned
Sep 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2018085312 CO
General Practice Physician 208D00000X 0994643 CO
Nurse Practitioner 363L00000X 0994643 CO Primary

Addresses

Primary practice location

1220 Lake Plaza Dr Ste 150
Colorado Springs, CO 80906-3548

Mailing address

2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210820000886 CO Practitioner - Nurse Practitioner 2668807132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Primary CareGroup PAC ID 3577988864, 9 clinicians

Practice addresses (Care Compare)

1120 Minnequa Ave
Pueblo, CO 81004-3734
Phone (719) 281-3285

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018085312COMDFamily Medicine Physician
0994643COMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Primary Care CurrentSince Dec 16, 2024 Accepting new patients
Summit Primary Care Family Medicine CurrentSince May 1, 2020 Accepting new patients
Summit Primary Care CurrentSince Dec 16, 2024 Accepting new patients

Locations

75 Printers Pkwy
Ste 200
Colorado Springs, CO 80910
Phone (719) 300-1122

300 E Hampden Ave
Ste 201
Englewood, CO 80113
Phone (303) 991-7700

1120 Minnequa Ave
Pueblo, CO 81004
Phone (719) 281-3285

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 and National Provider Directory roles.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1356992606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 ROCKY MOUNTAIN AVE STE 150",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 LAKE PLAZA DR STE 150",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063548",
            "telephone_number": "719-365-3600",
            "fax_number": "719-365-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMOTTA",
        "first_name": "KRISTIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "2018085312",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CO",
            "license": "0994643",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "0994643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.