Organization Active NPI

Empowermed, LLC

  • Family Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1649096736
Registry record updated Nov 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
EMPOWERMED, LLC
Practice address
6884 Summer Grace St
Colorado Springs, CO 80923-4447
Phone
(719) 651-2964
NPI assigned
Nov 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2024

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

Authorized official

Name
Travis Krull, NPNPI 1750058251
Title
FNP
Phone
(719) 651-2964

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2100X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

6884 Summer Grace St
Colorado Springs, CO 80923-4447

Mailing address

6884 Summer Grace St
Colorado Springs, CO 80923-4447
Phone (719) 651-2964

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1732320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732838400000",
    "number": "1649096736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6884 SUMMER GRACE ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809234447",
            "telephone_number": "719-651-2964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6884 SUMMER GRACE ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809234447",
            "telephone_number": "719-651-2964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERMED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-23",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A",
        "authorized_official_last_name": "KRULL",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "719-651-2964",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "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 Nov 29, 2024; 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.