NPIMap

Individual provider Active NPI

Lindsey Nicole Dazzo, FNP-BC

  • Family Nurse Practitioner
  • Pueblo, CO
National Provider Identifier
1477199487
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0995189-NP Issued in CO
Practice address
201 Lamkin St Apt 101
Pueblo, CO 81003-3558
Phone
(719) 543-6633
NPI assigned
Nov 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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 APN.0995189-NP CO Primary

Addresses

Primary practice location

201 Lamkin St Apt 101
Pueblo, CO 81003-3558

Mailing address

201 Lamkin St Apt 101
Pueblo, CO 81003-3558
Phone (719) 543-6633

Other practice location 1

135 Princeton St
Pueblo, CO 81005-1608
Phone (719) 369-1802

Other identifiers 1

IdentifierTypeStateIssuer
APN.0995189-NPOtherCODORA

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
I20211206001791 CO Practitioner - Nurse Practitioner 2860882826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

Practice addresses (Care Compare)

729 E Spaulding Ave
PRPW PC Pueblo West
Pueblo West, CO 81007-3512
Phone (719) 547-9119

Hospital & facility affiliations

  • Centura Health-Penrose St Francis Health Services Hospital, Colorado Springs, CO, CCN 060031
  • Parkview Medical Center, Inc Hospital, Pueblo, CO, CCN 060020

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
Quality
89.53
Promoting interoperability
100
Improvement activities
40
Cost
74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0995189-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado CurrentSince Jan 10, 2022 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Jan 10, 2022 Accepting new patients
Family Care Specialists, Inc. CurrentSince Jan 12, 2020 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Locations

6080 N Carefree Cir
Colorado Springs, CO 80922
Phone (719) 550-9100

201 Lamkin St
Apt 101
Pueblo, CO 81003
Phone (719) 543-6633

4112 Outlook Blvd
Ste 325
Pueblo, CO 81008
Phone (719) 562-6300

729 E Spaulding Ave
Pueblo West, CO 81007
Phone (719) 285-2735

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

Organizations & group practices 5

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 9

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": "1574640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1477199487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 LAMKIN ST APT 101",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033558",
            "telephone_number": "719-543-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LAMKIN ST APT 101",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033558",
            "telephone_number": "719-543-6633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 Princeton St",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810051608",
            "country_code": "US",
            "telephone_number": "719-369-1802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAZZO",
        "first_name": "LINDSEY",
        "middle_name": "NICOLE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-25",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0995189-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORA",
            "identifier": "APN.0995189-NP",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.