Active NPI
Luke James McCarthy, RN
- Gerontology Nurse Practitioner
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- C-APN.0003606-C-NP
- Practice address
- 1725 E Boulder St Ste 101
Colorado Springs, CO 80909-5740 - Phone
- (719) 365-6300
- NPI assigned
- Mar 17, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1-166190 | AL | |
| Gerontology Nurse Practitioner | 363LG0600X | C-APN.0003606-C-NP | CO | Primary |
Addresses
Primary practice location
1725 E Boulder St Ste 101
Colorado Springs, CO 80909-5740
Mailing address
2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071
Phone (970) 624-2412
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, CO, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-APN.0003606-C-NP | CO | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| University of Alabama Health Services Foundation, PC. | Current | Accepting new patients | |
| Family Spine and Pain Care Institute LLC | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients |
Locations
619 19th St S
Birmingham, AL 35249
1802 6th Ave S
Birmingham, AL 35233
Phone (205) 934-5105
4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260
8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633
1725 E Boulder St
Ste 101
Colorado Springs, CO 80909
Phone (719) 365-6300
2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412
1525 Tamiami Trl S
Ste 601
Venice, FL 34285
Phone (813) 495-8011
Interoperability endpoints
- https://api.platform.athenahealth.com/20709/brand/1/csg/1/fhir/r4
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.
-
- General Practice Physician
- Loveland, CO
- NPI 1225356868
-
- Pain Medicine Physician
- Venice, FL
- NPI 1619442209
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
-
- General Practice Physician
- Loveland, CO
- NPI 1366763260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645401600000",
"number": "1881153146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2695 ROCKY MOUNTAIN AVE STE 150",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805389071",
"telephone_number": "970-624-2412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 E BOULDER ST STE 101",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809095740",
"telephone_number": "719-365-6300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTHY",
"first_name": "LUKE",
"middle_name": "JAMES",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-17",
"last_updated": "2022-02-21",
"certification_date": "2022-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AL",
"license": "1-166190",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "CO",
"license": "C-APN.0003606-C-NP",
"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 Feb 21, 2022; 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.