Individual provider Active NPI

La Tasha Monique Bruner-Hill, FNP

  • Family Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1386161032
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0993325 Issued in CO
Practice address
3225 International Cir Ste 220
Colorado Springs, CO 80910-3161
Phone
(720) 869-0547
NPI assigned
Aug 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0993325 CO Primary

Addresses

Primary practice location

3225 International Cir Ste 220
Colorado Springs, CO 80910-3161

Mailing address

3225 International Cir Ste 220
Colorado Springs, CO 80910-3161
Phone (720) 869-0547

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
I20171019002168 CO Practitioner - Nurse Practitioner 7517233471 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3225 International Cir
Suite 220
Colorado Springs, CO 80910-3161
Phone (720) 869-0547

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0993325COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Springs Medical Associates, PC CurrentSince Dec 3, 2023 Accepting new patients
Peak Vista Community Health Centers CurrentSince Sep 8, 2017 Accepting new patients
Peak Vista Community Health Centers CurrentSince Sep 8, 2017 Accepting new patients
Abundance Health Care Family CurrentSince Apr 1, 2023 Accepting new patients

Locations

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

350 Printers Pkwy
Colorado Springs, CO 80910
Phone (719) 596-2020

3630 Sinton Rd
Ste 320
Colorado Springs, CO 80907
Phone (720) 869-0547

3225 International Cir
Ste 220
Colorado Springs, CO 80910
Phone (719) 694-9856

3205 N Academy Blvd
Ste 130
Colorado Springs, CO 80917
Phone (719) 344-6873

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCFBDD/Endpoint/BCFBDD
  • Direct secure messaging: latasha.brunerhill@myahc.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/13315/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1386161032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 INTERNATIONAL CIR STE 220",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103161",
            "telephone_number": "720-869-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 INTERNATIONAL CIR STE 220",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103161",
            "telephone_number": "720-869-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNER-HILL",
        "first_name": "LA TASHA",
        "middle_name": "MONIQUE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-24",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0993325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.