Individual provider Active NPI

Taryn Atalya Mack, DNP

  • Adult Health Nurse Practitioner
  • Pueblo, CO
National Provider Identifier
1457240301
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1679998 Issued in CO
Practice address
900 Indiana Ave Ste C
Pueblo, CO 81004-3767
Phone
(719) 568-8661
NPI assigned
Jul 2, 2025
Last updated
Sep 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1679998 CO Primary

Addresses

Primary practice location

900 Indiana Ave Ste C
Pueblo, CO 81004-3767

Mailing address

3120 Pony Tracks Dr
Colorado Springs, CO 80922-1402
Phone (402) 650-6498

Other names 1

  • Mrs. Taryn Atalya Buechler Former 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
I20250911003835 CO Practitioner - Nurse Practitioner 7416450846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3120 Pony Tracks Dr
Colorado Springs, CO 80922-1402

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1679998COMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Omnicare Health Solutions, Inc. CurrentSince Aug 2, 2025 Accepting new patients

Locations

900 Indiana Ave
Ste B
Pueblo, CO 81004
Phone (719) 568-8611

900 Indiana Ave
Ste C
Pueblo, CO 81004
Phone (719) 561-2289

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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": "1751414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1457240301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 PONY TRACKS DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809221402",
            "telephone_number": "402-650-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 INDIANA AVE STE C",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043767",
            "telephone_number": "719-568-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "TARYN",
        "middle_name": "ATALYA",
        "name_prefix": "Mrs.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-02",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "1679998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARYN",
            "last_name": "BUECHLER",
            "middle_name": "ATALYA",
            "prefix": "MRS.",
            "credential": "DNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.