Alisa Coleen Burkhalter, NP
Individual provider Active NPI Obstetrics & Gynecology Nurse Practitioner · Englewood, CO
NPI 1821246836 · NPPES record last updated Dec 30, 2021
Key facts
- NPI
- 1821246836
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner 363LX0001X
- License
- 5333 (CO)
- Practice address
- 180 E Hampden Ave Ste 100
Englewood, CO 80113-2517 - Phone
- (303) 789-4968
- NPI assigned
- Sep 3, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
- Opted out of Medicare
- Yes, effective Jul 1, 2026 through Jul 1, 2028
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5333 | CO | MD | Professional Counselor |
| 160383 | CO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clear Sky Medical | Past | Accepting new patients | |
| Clear Sky Medical, PC | Past |
Accepting new patients | |
| Bella Natural Womens Care | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 160383 | CO | |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 5333 | CO | Yes |
Addresses
Primary practice location
180 E Hampden Ave Ste 100
Englewood, CO 80113-2517
Mailing address
180 E Hampden Ave Ste 100
Englewood, CO 80113-2517
Phone (303) 789-4968
Other providers in Englewood, CO
- Paul Burant
- Gregory W. Burcham
- Tamara M Burdi
- Jessica Burger
- Jennifer G Burke
- Kara Greenfield Burks
- Lindsay Burleigh
- Glen E Burmeister
- Burn and Reconstructive Centers of Colorado
- Ashley Burns
All providers in Englewood, CO · Obstetrics & Gynecology Nurse Practitioner in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.