Active NPI
Kayla Previdi
- Psychiatric/Mental Health Nurse Practitioner
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 0992910
- Practice address
- 5615 Constitution Ave
Colorado Springs, CO 80915-1218 - Phone
- (719) 465-2819
- Fax
- (856) 249-9086
- NPI assigned
- Feb 21, 2017
- Last updated
- Sep 29, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0992910 | CO | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0992910 | CO | Primary |
Addresses
Primary practice location
5615 Constitution Ave
Colorado Springs, CO 80915-1218
Mailing address
5615 Constitution Ave
Colorado Springs, CO 80915-1218
Phone (719) 465-2819
Other practice location 1
5445 Mark Dabling Blvd
Colorado Springs, CO 80918-3800
Phone (720) 806-9662
Other names 1
- Kayla Wakefield
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5445 Mark Dabling Blvd
Suite 105
Colorado Springs, CO 80918-3850
Phone (719) 678-1425
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0992910 | CO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adult Medicine Specialists PC | Current | Accepting new patients | |
| Milestone Psychiatry Inc. | Psychiatric/Mental Health | Current | Accepting new patients |
| Summit Psychiatry, LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Divergent Minds Mental Health PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Milestone Psychiatry Inc | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
4833 Front St
Ste B
Castle Rock, CO 80104
Phone (720) 507-7017
5445 Mark Dabling Blvd
Ste 105
Colorado Springs, CO 80918
Phone (719) 301-0133
5615 Constitution Ave
Colorado Springs, CO 80915
Phone (719) 465-2819
1225 N Grand Ave
Ste 100
Pueblo, CO 81003
Phone (719) 544-5600
Interoperability endpoints
- kayla.previdi@cfms.eclinicaldirectplus.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatric/Mental Health Nurse Practitioner
- Colorado Springs, CO
- NPI 1568177814
-
- Internal Medicine Physician
- Pueblo, CO
- NPI 1316162464
-
- Psychiatric/Mental Health Nurse Practitioner
- Colorado Springs, CO
- NPI 1790583557
-
- Adult Mental Health Clinic/Center
- Colorado Springs, CO
- NPI 1871123869
Psychiatric/Mental Health
-
dba Milestone Psychiatry Pueblo
- Adult Mental Health Clinic/Center
- Pueblo, CO
- NPI 1447027776
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695945600000",
"number": "1619416765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5615 CONSTITUTION AVE",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809151218",
"telephone_number": "719-465-2819",
"fax_number": "856-249-9086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5615 CONSTITUTION AVE",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809151218",
"telephone_number": "719-465-2819",
"fax_number": "856-249-9086"
}
],
"practiceLocations": [
{
"address_1": "5445 Mark Dabling Blvd",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809183800",
"country_code": "US",
"telephone_number": "720-806-9662",
"fax_number": "856-249-9086",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PREVIDI",
"first_name": "KAYLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-21",
"last_updated": "2023-09-29",
"certification_date": "2023-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "0992910",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CO",
"license": "0992910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAYLA",
"last_name": "WAKEFIELD",
"credential": "FNP",
"code": "1",
"type": "Former Name"
}
]
}
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 Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.