Individual provider Active NPI

Deborah Sue-Perantoni Tuffield, NP

  • Primary Care Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1386966463
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
NP10185 Issued in CO
Practice address
4863 N Nevada Ave Ste 250
Colorado Springs, CO 80918
Phone
(719) 255-8001
Fax
(719) 255-8044
NPI assigned
Feb 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X NP10185 CO Primary

Addresses

Primary practice location

4863 N Nevada Ave Ste 250
Colorado Springs, CO 80918

Mailing address

4863 N Nevada Ave Ste 250
Colorado Springs, CO 80918-3951
Phone (719) 255-8001

Other identifiers 1

IdentifierTypeStateIssuer
00837521MedicaidCO

Other names 1

  • Deborah Sue-Perantoni Tuffield Professional name

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
I20130514000243 CO Practitioner - Nurse Practitioner 0446497341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the University of ColoradoGroup PAC ID 7012810716, 21 clinicians

Practice addresses (Care Compare)

4863 N Nevada Ave
Colorado Springs, CO 80918-3951

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP10185COMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of Colorado CurrentSince Dec 1, 2014 Accepting new patients
Regents of the University of Colorado CurrentSince Dec 1, 2014 Accepting new patients
Uch-MHS CurrentSince Jan 1, 2013 Accepting new patients
Regents of the University of Colorado Primary Care Current Accepting new patients
Uch-MHS Past Accepting new patients
University of Colorado Past Accepting new patients

Locations

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

4863 N Nevada Ave
#250
Colorado Springs, CO 80918

4863 N Nevada Ave
Ste 250
Colorado Springs, CO 80918
Phone (719) 255-4664

4863 N Nevada Ave
Colorado Springs, CO 80918
Phone (719) 255-8001

4863 N Nevada Ave
Ste 380
Colorado Springs, CO 80918
Phone (719) 255-8001

Organizations & group practices 6

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": "1266364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1386966463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4863 N NEVADA AVE STE 250",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183951",
            "telephone_number": "719-255-8001",
            "fax_number": "719-255-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4863 N NEVADA AVE STE 250",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80918",
            "telephone_number": "719-255-8001",
            "fax_number": "719-255-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUFFIELD",
        "first_name": "DEBORAH",
        "middle_name": "SUE-PERANTONI",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-17",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CO",
            "license": "NP10185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00837521",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "TUFFIELD",
            "middle_name": "SUE-PERANTONI",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.