Individual provider Active NPI

Heather McDonnell, BSN, RN

  • Registered Nurse
  • Colorado Springs, CO
National Provider Identifier
1467829499
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN.1628010 Issued in CO
Practice address
1675 Garden of the Gods Rd
Suite 2044
Colorado Springs, CO 80907-9444
Phone
(719) 578-3256
Fax
(719) 578-3234
NPI assigned
Aug 25, 2015
Last updated
Nov 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 217600 TN
Registered Nurse 163W00000X RN.1628010 CO Primary

Addresses

Primary practice location

1675 Garden of the Gods Rd
Suite 2044
Colorado Springs, CO 80907-9444

Mailing address

1675 Garden of the Gods Rd # 2044
Colorado Springs, CO 80907-9444
Phone (719) 578-3199

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN.1628010COMDRegistered Nurse
217600TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso County Public Health PastSince Nov 27, 2022 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1467829499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 GARDEN OF THE GODS RD # 2044",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809079444",
            "telephone_number": "719-578-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 GARDEN OF THE GODS RD",
            "address_2": "SUITE 2044",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809079444",
            "telephone_number": "719-578-3256",
            "fax_number": "719-578-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONNELL",
        "first_name": "HEATHER",
        "credential": "BSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-25",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "217600",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.1628010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Nov 22, 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.

Verify at the official NPI Registry.