Nicole Bartolo, AGACNP-BC, & FNP-BC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

APN.0995258-NP Issued in CO

Practice address

1600 W 24TH St
Pueblo, CO 81003-1499

Phone

(719) 546-4000

NPI assigned

Jan 31, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1679104244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2152 GALE RD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810061933",
            "telephone_number": "719-251-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W 24TH ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810031499",
            "telephone_number": "719-546-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTOLO",
        "first_name": "NICOLE",
        "credential": "AGACNP-BC, & FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-31",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CO",
            "license": "2019057574",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "2019059336",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CO",
            "license": "APN.0995258-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Barrett
• Barry M. Rapp, M.D., Prof. LLC
• Carl Edwin Bartecchi, M.D.
• Colton J Bartels, D.C.
• Chase Charles Bartholomew, DO
• Alison Barton, COTA
• Kelsey E Barton, PA-C
• Athena Catherine Barwick, PMHNP
• Andrew Benjamin Basham, NLC
• Abdul Raffeh Basit, M.D.

• Acute Care Nurse Practitioner in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Acute Care Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.