Individual provider Active NPI

Beverly Baker-Newsholme, N.P.

  • Nurse Practitioner
  • Parker, CO
National Provider Identifier
1649330218
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN.00992099-NP Issued in CO
Practice address
9235 Crown Crest Blvd Ste 200
Parker, CO 80138-8881
Phone
(303) 840-5051
Fax
(303) 840-5058
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN0992099 CO
Nurse Practitioner 363L00000X APN.00992099-NP CO Primary

Addresses

Primary practice location

9235 Crown Crest Blvd Ste 200
Parker, CO 80138-8881

Mailing address

9235 Crown Crest Blvd Ste 200
Parker, CO 80138-8881
Phone (303) 840-5051

Other identifiers 1

IdentifierTypeStateIssuer
900049488MedicaidCO

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161121002000 CO Practitioner - Nurse Practitioner 1153322359 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.00992099-NPCOMDNurse Practitioner
APN0992099COMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optumcare Colorado Medical Group LLC CurrentSince Nov 14, 2016 Accepting new patients
Optumcare Colorado Medical Group LLC CurrentSince Nov 14, 2016 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

1633 Medical Center Pt
Colorado Springs, CO 80907
Phone (719) 636-2999

1625 Medical Center Pt
Ste 290
Colorado Springs, CO 80907
Phone (719) 635-5148

2 S Cascade Ave
Ste 140
Colorado Springs, CO 80903
Phone (719) 538-2900

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.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1649330218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9235 CROWN CREST BLVD STE 200",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388881",
            "telephone_number": "303-840-5051",
            "fax_number": "303-840-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9235 CROWN CREST BLVD STE 200",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388881",
            "telephone_number": "303-840-5051",
            "fax_number": "303-840-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER-NEWSHOLME",
        "first_name": "BEVERLY",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN0992099",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.00992099-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "900049488",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.