Active NPI
Alicia Ruth Apple, DO
- Pediatrics Physician
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- DR.0059934
- Practice address
- 104 Pro Rodeo Dr Ste 100
Colorado Springs, CO 80919-2334 - Phone
- (719) 522-0707
- NPI assigned
- Jun 14, 2012
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 1730441783 | OK | |
| Pediatrics Physician | 208000000X | DR.0059934 | CO | Primary |
Addresses
Primary practice location
104 Pro Rodeo Dr Ste 100
Colorado Springs, CO 80919-2334
Mailing address
4190 E Woodmen Rd Ste 100
Colorado Springs, CO 80920-8075
Phone (719) 632-4455
Other practice location 1
635 W 11th St
Tulsa, OK 74127-9014
Phone (918) 382-3100
Other practice location 2
4150 E Woodmen Rd Ste 100
Colorado Springs, CO 80920-8042
Phone (719) 418-2121
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | alicia.apple@mvmg.eclinicaldirectplus.com |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1730441783 | OK | MD | Emergency Medicine Physician |
| DR.0059934 | CO | MD | Pediatrics Physician |
| 5346 | OK | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpine Medical Group Colorado PLLC | Pediatrics | Current | Accepting new patients |
| Matthews-Vu Medical Group, P.C. | Current | Accepting new patients | |
| Matthews-Vu Medical Group, P.C. | Current | Accepting new patients | |
| Matthews-Vu Medical Group, P.C. | Pediatrics | Current | Accepting new patients |
| Peak Vista Community Health Centers | Current | Accepting new patients | |
| Peak Vista Community Health Centers | Current | Accepting new patients |
Locations
1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120
4150 E Woodmen Rd
Ste 100
Colorado Springs, CO 80920
Phone (719) 418-2121
4190 E Woodmen Rd
Ste 100
Colorado Springs, CO 80920
Phone (630) 364-4851
104 Pro Rodeo Dr
Ste 100
Colorado Springs, CO 80919
Phone (719) 522-0707
3205 N Academy Blvd
Ste 100
Colorado Springs, CO 80917
Phone (719) 776-3600
3205 N Academy Blvd
Ste 130
Colorado Springs, CO 80917
Phone (719) 344-6873
999 17th St
Ste 500
Denver, CO 80202
Phone (720) 355-0539
Organizations & group practices 6
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.
-
dba Colorado Physicians Partners
- Family Medicine Physician
- Denver, CO
- NPI 1104501873
Pediatrics
-
- Internal Medicine Physician
- Colorado Springs, CO
- NPI 1649438433
-
- Federally Qualified Health Center (FQHC)
- Colorado Springs, CO
- NPI 1730166034
-
- Multi-Specialty Clinic/Center
- Colorado Springs, CO
- NPI 1063022358
Pediatrics
-
- Multi-Specialty Clinic/Center
- Colorado Springs, CO
- NPI 1528735107
-
dba Behavioral Health at Inside Out Youth Services
- Federally Qualified Health Center (FQHC)
- Colorado Springs, CO
- NPI 1871347443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609286400000",
"number": "1730441783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4190 E WOODMEN RD STE 100",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809208075",
"telephone_number": "719-632-4455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 PRO RODEO DR STE 100",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809192334",
"telephone_number": "719-522-0707"
}
],
"practiceLocations": [
{
"address_1": "635 W 11th St",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741279014",
"country_code": "US",
"telephone_number": "918-382-3100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4150 E Woodmen Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809208042",
"country_code": "US",
"telephone_number": "719-418-2121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "APPLE",
"first_name": "ALICIA",
"middle_name": "RUTH",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-14",
"last_updated": "2020-12-30",
"certification_date": "2020-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "1730441783",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "DR.0059934",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "alicia.apple@mvmg.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "104 Pro Rodeo Dr Ste 100",
"city": "Colorado Springs",
"state": "CO",
"country_code": "US",
"postal_code": "809192334",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Dec 30, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.