Individual provider Active NPI

Jeffrey Hunter, NP

  • Family Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1548232606
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP-5314 Issued in CO
Practice address
2950 Professional PL Ste 145
Colorado Springs, CO 80904-8106
Phone
(719) 428-5141
Fax
(719) 212-6314
NPI assigned
Feb 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN173147 CO
Family Nurse Practitioner 363LF0000X NP-5314 CO Primary

Addresses

Primary practice location

2950 Professional PL Ste 145
Colorado Springs, CO 80904-8106

Mailing address

2950 Professional PL Ste 145
Colorado Springs, CO 80904-8106
Phone (719) 428-5141

Other identifiers 1

IdentifierTypeStateIssuer
63200571MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2020 through Apr 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP-5314COMDFamily Nurse Practitioner
RN173147COMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1548232606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 PROFESSIONAL PL STE 145",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809048106",
            "telephone_number": "719-428-5141",
            "fax_number": "719-212-6314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 PROFESSIONAL PL STE 145",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809048106",
            "telephone_number": "719-428-5141",
            "fax_number": "719-212-6314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTER",
        "first_name": "JEFFREY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2022-02-09",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "RN173147",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "NP-5314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "63200571",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.