Individual provider Active NPI

Lady Love Roncales Kaltenhauser, APRN

  • Family Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1831770593
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0996446-NP Issued in CO
Practice address
1914 Lelaray St
Colorado Springs, CO 80909-2800
Phone
(719) 632-7641
NPI assigned
Apr 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0996446-NP CO Primary

Addresses

Primary practice location

1914 Lelaray St
Colorado Springs, CO 80909-2800

Mailing address

11106 Glen Canyon Dr
Peyton, CO 80831-7070
Phone (307) 287-2185

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210428002902 CO Practitioner - Nurse Practitioner 0547679748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pikes Peak Nephrology Associates PCGroup PAC ID 7719884931, 14 clinicians

Practice addresses (Care Compare)

1914 Lelaray St
Colorado Springs, CO 80909-2800
Phone (719) 632-7641

Hospital & facility affiliations

  • Uch-Memorial Health System Hospital, Colorado Springs, CO, CCN 060022
  • Uchealth Grandview Hospital Hospital, Colorado Springs, CO, CCN 060130
  • Uchealth Pikes Peak Regional Hospital Hospital, Woodland Park, CO, CCN 061326

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.0996446-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pikes Peak Nephrology Associates PC CurrentSince Jun 1, 2021 Accepting new patients
Pikes Peak Nephrology Associates PC CurrentSince Jun 1, 2021 Accepting new patients
Pikes Peak Nephrology Associates PC Current Accepting new patients
Transtreme, LLC Family Past Accepting new patients

Locations

2115 Stuart Ave
Alamosa, CO 81101
Phone (719) 589-3000

1914 Lelaray St
Colorado Springs, CO 80909
Phone (719) 955-2651

850 Eagleridge Blvd
Ste 100
Pueblo, CO 81008
Phone (866) 493-7217

Organizations & group practices 4

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.

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1831770593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11106 GLEN CANYON DR",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808317070",
            "telephone_number": "307-287-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 LELARAY ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092800",
            "telephone_number": "719-632-7641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALTENHAUSER",
        "first_name": "LADY LOVE",
        "middle_name": "RONCALES",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0996446-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.