Active NPI
Legacy Integrated Health LLC
- Women's Health Nurse Practitioner
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- Legal business name
- LEGACY INTEGRATED HEALTH LLC
- Practice address
- 3585 Van Teylingen Dr Ste G
Colorado Springs, CO 80917-4872 - Phone
- (719) 649-9345
- NPI assigned
- Jul 31, 2026
- Last updated
- Jul 31, 2026
- Organization subpart
- Yes
- Parent organization
- LEGACY INTEGRATED HEALTH LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Demetra Seriki, APRN
- Title
- Provider/Administrator
- Phone
- (719) 649-9345
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Surgical Family Planning Clinic/Center | 261QF0050X | NU | ||
| Nurse Practitioner | 363L00000X | NU | ||
| Women's Health Nurse Practitioner | 363LW0102X | NU | Primary | |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | NU |
Addresses
Primary practice location
3585 Van Teylingen Dr Ste G
Colorado Springs, CO 80917-4872
Mailing address
3585 Van Teylingen Dr Ste G
Colorado Springs, CO 80917-4872
Phone (719) 649-9345
National Provider Directory
National Provider DirectoryLocations
3585 Van Teylingen Dr
Ste G
Colorado Springs, CO 80917
Phone (719) 425-2631
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics & Gynecology Nurse Practitioner
- Colorado Springs, CO
- NPI 1790168425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785456000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785456000000",
"number": "1790608313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3585 VAN TEYLINGEN DR STE G",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809174872",
"telephone_number": "719-649-9345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3585 VAN TEYLINGEN DR STE G",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809174872",
"telephone_number": "719-649-9345"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY INTEGRATED HEALTH LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LEGACY INTEGRATED HEALTH LLC",
"enumeration_date": "2026-07-31",
"last_updated": "2026-07-31",
"certification_date": "2026-07-31",
"status": "A",
"authorized_official_last_name": "SERIKI",
"authorized_official_first_name": "DEMETRA",
"authorized_official_title_or_position": "PROVIDER/ADMINISTRATOR",
"authorized_official_telephone_number": "719-649-9345",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "261QF0050X",
"taxonomy_group": "",
"desc": "Clinic/Center, Family Planning, Non-Surgical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "NU",
"license": null,
"primary": false
}
],
"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 Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.