Individual provider Active NPI

Sara Illescas Henly

  • Adult Health Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1538065396
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APN.1002490-NP Issued in CO
Practice address
1644 Medical Center PT Ste 200
Colorado Springs, CO 80907-5765
Phone
(719) 634-1994
Fax
(719) 634-2906
NPI assigned
Oct 19, 2026
Last updated
Oct 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APN.1002490-NP CO
Adult Health Nurse Practitioner 363LA2200X APN.1002490-NP CO Primary

Addresses

Primary practice location

1644 Medical Center PT Ste 200
Colorado Springs, CO 80907-5765

Mailing address

1644 Medical Center PT Ste 200
Colorado Springs, CO 80907-5765
Phone (719) 634-1994

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

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Springs Urological Associates LLC PastSince Aug 3, 2015 Accepting new patients
Colorado Springs Urological Associates LLC PastSince Oct 1, 2017 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.645

Organizations & group practices 2

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": "1792368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792368000000",
    "number": "1538065396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1644 MEDICAL CENTER PT STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075765",
            "telephone_number": "719-634-1994",
            "fax_number": "719-634-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1644 MEDICAL CENTER PT STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075765",
            "telephone_number": "719-634-1994",
            "fax_number": "719-634-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENLY",
        "first_name": "SARA",
        "middle_name": "ILLESCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-19",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CO",
            "license": "APN.1002490-NP",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "APN.1002490-NP",
            "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 Oct 19, 2026; 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.