Organization Active NPI

Preservehealth

  • Psychiatric/Mental Health Nurse Practitioner
  • Pueblo West, CO
National Provider Identifier
1972352136
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PRESERVEHEALTH
Practice address
44 E. Spaulding Ave, BLDG 3, Ste 4
Pueblo West, CO 81007-1668
Phone
(719) 289-6002
Fax
(719) 888-1617
NPI assigned
May 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Authorized official

Name
Sylvia Knop, SYLVIA KNOP
Title
NP/Ceo
Phone
(719) 439-4067

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X

Addresses

Primary practice location

44 E. Spaulding Ave, BLDG 3, Ste 4
Pueblo West, CO 81007-1668

Mailing address

635 W Corona Ave Ste 205
Pueblo, CO 81004-1210
Phone (719) 289-6002

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1972352136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 W CORONA AVE STE 205",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810041210",
            "telephone_number": "719-289-6002",
            "fax_number": "719-888-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 E. SPAULDING AVE, BLDG 3, STE 4",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810071668",
            "telephone_number": "719-289-6002",
            "fax_number": "719-888-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESERVEHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-17",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "KNOP",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_title_or_position": "NP/CEO",
        "authorized_official_telephone_number": "719-439-4067",
        "authorized_official_credential": "SYLVIA KNOP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo West, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.