Individual provider Active NPI

Alexandra N Stewart, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Pueblo, CO
National Provider Identifier
1982345880
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0997439-NP Issued in CO
Practice address
805 Eagleridge Blvd Ste 140
Pueblo, CO 81008-2354
Phone
(719) 679-5022
Fax
(719) 888-1673
NPI assigned
Apr 5, 2022
Last updated
Aug 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0997439-NP CO Primary

Addresses

Primary practice location

805 Eagleridge Blvd Ste 140
Pueblo, CO 81008-2354

Mailing address

805 Eagleridge Blvd Ste 140
Pueblo, CO 81008-2354
Phone (316) 655-1470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220601002693 CO Practitioner - Nurse Practitioner 4183002280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

805 Eagleridge Blvd
Suite 140
Pueblo, CO 81008-2354
Phone (719) 679-5022

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sunflower Mountain Mental Health LLC Psychiatric/Mental Health CurrentSince Jun 4, 2025 Accepting new patients
Sunflower Mountain Mental Health LLC Psychiatric/Mental Health CurrentSince Jun 4, 2025 Accepting new patients

Locations

805 Eagleridge Blvd
Ste 140
Pueblo, CO 81008
Phone (719) 679-5022

Organizations & group practices 2

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": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1982345880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 EAGLERIDGE BLVD STE 140",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082354",
            "telephone_number": "316-655-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 EAGLERIDGE BLVD STE 140",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082354",
            "telephone_number": "719-679-5022",
            "fax_number": "719-888-1673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "ALEXANDRA",
        "middle_name": "N",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0997439-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.