Organization Active NPI

Pikes Peak Med

  • Primary Care Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1992514822
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
PIKES PEAK MED
Practice address
1304 N Academy Blvd Ste 102
Colorado Springs, CO 80909-3318
Phone
(719) 290-4379
NPI assigned
Jan 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Authorized official

Name
Desiree N Vialpando
Title
Managing Member/ Owner
Phone
(719) 290-4379

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

1304 N Academy Blvd Ste 102
Colorado Springs, CO 80909-3318

Mailing address

1304 N Academy Blvd Ste 102
Colorado Springs, CO 80909-3318
Phone (719) 290-4379

National Provider Directory

National Provider Directory

Locations

1304 N Academy Blvd
Ste 102
Colorado Springs, CO 80909
Phone (719) 283-6794

NPI Registry JSON

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1992514822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 N ACADEMY BLVD STE 102",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809093318",
            "telephone_number": "719-290-4379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 N ACADEMY BLVD STE 102",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809093318",
            "telephone_number": "719-290-4379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKES PEAK MED",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "VIALPANDO",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MANAGING MEMBER/ OWNER",
        "authorized_official_telephone_number": "719-290-4379"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "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 Jan 6, 2025; 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.