Aja Danielle Hardisty, FNP-BC, AGACNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0995939 Issued in CO

Practice address

8653 Alpine Valley Dr
Colorado Springs, CO 80920-7310

Phone

(719) 225-0593

NPI assigned

Aug 2, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Dec 5, 2023 through Dec 5, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: aja.hardisty@894688831537156.direct.elationemr.com

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

{
    "created_epoch": "1596326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1902416233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 PROFESSIONAL PL STE 103",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809048125",
            "telephone_number": "719-260-1161",
            "fax_number": "719-362-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8653 ALPINE VALLEY DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207310",
            "telephone_number": "719-225-0593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDISTY",
        "first_name": "AJA",
        "middle_name": "DANIELLE",
        "name_prefix": "Miss",
        "credential": "FNP-BC, AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-02",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "0995939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Suzanne Harding, N.P.
• Kasi Harding
• Shannon Virginia Harding
• Shardae Harding
• Tracey Renee Hardison, LNMT
• Sky Hardman
• Amee Hardy-Woodman
• Brian Frederick Hardy, ATC
• Courtney Hardy
• Lynor Dicang Hardy, IDMT

• Nurse Practitioner in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.