Organization Active NPI

Veteran Assessment Agency

  • Family Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1790507093
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
VETERAN ASSESSMENT AGENCY
Practice address
1880 Office Club Pointe
Suite 362
Colorado Springs, CO 80920
Phone
(719) 200-2243
NPI assigned
Oct 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Cecilio Cardenas PonceNPI 1386066462
Title
Ceo
Phone
(719) 200-2243

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

1880 Office Club Pointe
Suite 362
Colorado Springs, CO 80920

Mailing address

1880 Office Club Pointe
Suite 362
Colorado Springs, CO 80920
Phone (719) 200-2243

National Provider Directory

National Provider Directory

Locations

1880 Office Club Pt
Ste 362
Colorado Springs, CO 80920
Phone (719) 200-2243

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": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1790507093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 OFFICE CLUB POINTE",
            "address_2": "SUITE 362",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80920",
            "telephone_number": "719-200-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 OFFICE CLUB POINTE",
            "address_2": "SUITE 362",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80920",
            "telephone_number": "719-200-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETERAN ASSESSMENT AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "CARDENAS PONCE",
        "authorized_official_first_name": "CECILIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "719-200-2243"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE 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 Oct 28, 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.