Active NPI
Margaret Eileen Reardon, APRN
- Nurse Practitioner
- Colorado Springs, CO
National Provider Identifier
1962954172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APN.0002728-C-NP
- Practice address
- 1230 Tenderfoot Hill Rd Ste 255
Colorado Springs, CO 80906-7393 - Phone
- (719) 694-9446
- Fax
- (720) 694-9436
- NPI assigned
- Nov 4, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthotic Fitter | 225000000X | APN.0002728-C-NP | CO | |
| Acute Care Nurse Practitioner | 363LA2100X | APN.0002728-C-NP | CO | |
| Critical Care Medicine Nurse Practitioner | 363LC0200X | AP132473 | TX | |
| Family Nurse Practitioner | 363LF0000X | APN.0002728-C-NP | CO | |
| Nurse Practitioner | 363L00000X | APN.0002728-C-NP | CO | Primary |
Addresses
Primary practice location
1230 Tenderfoot Hill Rd Ste 255
Colorado Springs, CO 80906-7393
Mailing address
15848 Longmeadow LN
Colorado Springs, CO 80921-3707
Phone (913) 526-9094
Other practice location 1
4001 W 15th St
Suite 290
Plano, TX 75093-5841
Phone (469) 443-0924
Other practice location 2
1901 N MacArthur Blvd
Irving, TX 75061
Phone (972) 579-8100
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 |
|---|---|---|---|
| AP132473 | TX | MD | Critical Care Medicine Nurse Practitioner |
| APN.0002728-C-NP | CO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Multi-Specialty | 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.
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621814400000",
"number": "1962954172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15848 LONGMEADOW LN",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809213707",
"telephone_number": "913-526-9094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 TENDERFOOT HILL RD STE 255",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809067393",
"telephone_number": "719-694-9446",
"fax_number": "720-694-9436"
}
],
"practiceLocations": [
{
"address_1": "4001 W 15th St",
"address_2": "Suite 290",
"address_purpose": "LOCATION",
"city": "Plano",
"state": "TX",
"postal_code": "750935841",
"country_code": "US",
"telephone_number": "469-443-0924",
"fax_number": "469-443-0940",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1901 N MacArthur Blvd",
"address_purpose": "LOCATION",
"city": "Irving",
"state": "TX",
"postal_code": "75061",
"country_code": "US",
"telephone_number": "972-579-8100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REARDON",
"first_name": "MARGARET",
"middle_name": "EILEEN",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-04",
"last_updated": "2021-05-24",
"certification_date": "2021-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "225000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthotic Fitter",
"state": "CO",
"license": "APN.0002728-C-NP",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Acute Care",
"state": "CO",
"license": "APN.0002728-C-NP",
"primary": false
},
{
"code": "363LC0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Critical Care Medicine",
"state": "TX",
"license": "AP132473",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "APN.0002728-C-NP",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "APN.0002728-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 May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.