Individual provider Active NPI

Lucy Elizabeth Martin

  • Pediatric Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1912472564
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
24978 Issued in TN
Practice address
6031 E Woodmen Rd Ste 330
Colorado Springs, CO 80923-2624
Phone
(719) 638-1122
NPI assigned
Oct 10, 2018
Last updated
Dec 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X C-APN.0003262-C-NP CO
Pediatric Nurse Practitioner 363LP0200X 24978 TN Primary
Registered Nurse 163W00000X 225374 TN

Addresses

Primary practice location

6031 E Woodmen Rd Ste 330
Colorado Springs, CO 80923-2624

Mailing address

290 W Alameda Ave Apt 343
Denver, CO 80223-2182
Phone (615) 881-6138

Other identifiers 1

IdentifierTypeStateIssuer
C-APN.0003262-C-NPOtherCONP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

290 W Alameda Ave
Apt 343
Denver, CO 80223-2182

290 W Alameda Ave Apt
Suite 343
Denver, CO 80223-2182

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
225374TNMDRegistered Nurse
24978TNMDGeriatric Psychiatry Physician
C-APN.0003262-C-NPCOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Pulmonary and Sleep Specialists, PLLC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1912472564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 W ALAMEDA AVE APT 343",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802232182",
            "telephone_number": "615-881-6138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6031 E WOODMEN RD STE 330",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232624",
            "telephone_number": "719-638-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LUCY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-10",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "C-APN.0003262-C-NP",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "24978",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "225374",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP",
            "identifier": "C-APN.0003262-C-NP",
            "state": "CO"
        }
    ],
    "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 Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.