Individual provider Active NPI

Teresa Yambo

  • Psychiatric/Mental Health Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1497618193
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.1001348-NP Issued in CO
Practice address
2918 Beacon St
Colorado Springs, CO 80907-9208
Phone
(719) 629-7723
NPI assigned
Dec 8, 2025
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.1001348-NP CO Primary

Addresses

Primary practice location

2918 Beacon St
Colorado Springs, CO 80907-9208

Mailing address

2918 Beacon St
Colorado Springs, CO 80907-9208

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
I20260319000024 CO Practitioner - Nurse Practitioner 3779067681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kopas Mental Health LLCGroup PAC ID 6406299858, 2 clinicians

Practice addresses (Care Compare)

2918 Beacon St
Colorado Springs, CO 80907-9208
Phone (719) 629-7723

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN.1001348-NPCOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kopas Mental Health LLC Psychiatric/Mental Health CurrentSince Mar 4, 2026 Accepting new patients

Locations

2918 Beacon St
Colorado Springs, CO 80907
Phone (214) 701-0158

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1765152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1497618193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2918 BEACON ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809079208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2918 BEACON ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809079208",
            "telephone_number": "719-629-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMBO",
        "first_name": "TERESA",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-12-08",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.1001348-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.