Individual provider Active NPI

Margaret Eileen Reardon, APRN

  • Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1962954172
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN.0002728-C-NP Issued in CO
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

Updated by the provider on May 24, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotic FitterGroup: 193200000X MULTI-SPECIALTY GROUP 225000000X APN.0002728-C-NP CO
Acute Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2100X APN.0002728-C-NP CO
Critical Care Medicine Nurse Practitioner 363LC0200X AP132473 TX
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X APN.0002728-C-NP CO
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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

LicenseStateTypeSpecialty
AP132473TXMDCritical Care Medicine Nurse Practitioner
APN.0002728-C-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.