Individual provider Active NPI

Gayla Coatney Pyka, APRN, FNP-C

  • Family Nurse Practitioner
  • Longmont, CO
National Provider Identifier
1609249580
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
C-APN.0102006-C-NP Issued in CO
Practice address
1760 E Ken Pratt Blvd Ste 201
Longmont, CO 80504-5311
Phone
(720) 718-8222
Fax
(720) 718-0954
NPI assigned
Nov 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X C-APN.0102006-C-NP CO Primary
Registered Nurse 163W00000X RN0000204271 TN
Registered Nurse 163W00000X RN9344397 FL
Family Nurse Practitioner 363LF0000X AP141259 TX
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 9344397 FL

Addresses

Primary practice location

1760 E Ken Pratt Blvd Ste 201
Longmont, CO 80504-5311

Mailing address

4606 Moss Hill Rd
Chipley, FL 32428-7307
Phone (850) 819-0395

Other practice location 1

1130 Cottonwood Creek Trl Ste C1
Cedar Park, TX 78613-7862
Phone (512) 454-8378

Other practice location 2

7707 Ewing Halsell Dr Ste 213
San Antonio, TX 78229-4042
Phone (210) 692-9500

Other practice location 3

607 Camden St
San Antonio, TX 78215-1610
Phone (210) 253-3426

Other names 1

  • Gayla Breanne Coatney Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210706000012 TX Practitioner - Nurse Practitioner 6901208594 Reassigns benefits to 1 organization
I20240712001482 CO Practitioner - Nurse Practitioner 6901208594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

1760 E Ken Pratt Blvd
Suite 201 Womens Care LPMC
Longmont, CO 80504-5311
Phone (720) 718-5200

Hospital & facility affiliations

  • Methodist Hospital Hospital, San Antonio, TX, CCN 450388
  • Longs Peak Hospital Hospital, Longmont, CO, CCN 060128

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9344397FLMDRegistered Nurse
RN0000204271TNMDRegistered Nurse
C-APN.0102006-C-NPCOMDFamily Nurse Practitioner
9344397FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC Single Specialty Current Accepting new patients
Poudre Valley Medical Group, LLC Single Specialty CurrentSince May 28, 2024 Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

1760 E Ken Pratt Blvd
Ste 201
Longmont, CO 80504
Phone (720) 718-5200

1925 Mountain View Ave
Longmont, CO 80501
Phone (303) 776-1234

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

Organizations & group practices 3

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 4

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": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1609249580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4606 MOSS HILL RD",
            "city": "CHIPLEY",
            "state": "FL",
            "postal_code": "324287307",
            "telephone_number": "850-819-0395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 E KEN PRATT BLVD STE 201",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805045311",
            "telephone_number": "720-718-8222",
            "fax_number": "720-718-0954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1130 Cottonwood Creek Trl Ste C1",
            "address_purpose": "LOCATION",
            "city": "Cedar Park",
            "state": "TX",
            "postal_code": "786137862",
            "country_code": "US",
            "telephone_number": "512-454-8378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7707 Ewing Halsell Dr Ste 213",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782294042",
            "country_code": "US",
            "telephone_number": "210-692-9500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "607 Camden St",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782151610",
            "country_code": "US",
            "telephone_number": "210-253-3426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PYKA",
        "first_name": "GAYLA",
        "middle_name": "COATNEY",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-02",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0102006-C-NP",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN0000204271",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9344397",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP141259",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9344397",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GAYLA",
            "last_name": "COATNEY",
            "middle_name": "BREANNE",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.