Active NPI
Kathleen Elizabeth Wachutka, FNP-C
- Family Nurse Practitioner
- Colorado Springs, CO
National Provider Identifier
1912339730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- MSAPN.0000023-NP
- Practice address
- 302 Irvington CT
Colorado Springs, CO 80906-7980 - Phone
- (703) 314-3696
- NPI assigned
- Aug 2, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP1051890 | DC | |
| Family Nurse Practitioner | 363LF0000X | AP61642672 | WA | |
| Family Nurse Practitioner | 363LF0000X | MSAPN.0000023-NP | CO | Primary |
| Family Nurse Practitioner | 363LF0000X | 0024171663 | VA | |
| Family Nurse Practitioner | 363LF0000X | APRN-1551 | HI |
Addresses
Primary practice location
302 Irvington CT
Colorado Springs, CO 80906-7980
Mailing address
302 Irvington CT
Colorado Springs, CO 80906-7980
Phone (703) 314-3696
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MSAPN.0000023-NP | CO | MD | Family Nurse Practitioner |
| NP1051890 | DC | MD | Family Nurse Practitioner |
| APRN-1551 | HI | MD | Family Nurse Practitioner |
| 0024171663 | VA | MD | Family Nurse Practitioner |
| AP61642672 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cloud Health Medical Group, P.a. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1528744935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770681600000",
"number": "1912339730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 IRVINGTON CT",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809067980",
"telephone_number": "703-314-3696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 IRVINGTON CT",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809067980",
"telephone_number": "703-314-3696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WACHUTKA",
"first_name": "KATHLEEN",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-02",
"last_updated": "2026-02-10",
"certification_date": "2026-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DC",
"license": "NP1051890",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP61642672",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "MSAPN.0000023-NP",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024171663",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "HI",
"license": "APRN-1551",
"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 Feb 10, 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.