PEDIATRIC TELEHEALTH OF COLORADO INC
NPI 1083312912
Nurse Practitioner - Pediatrics in Pueblo, CO

Q: What is Pediatric Telehealth Of Colorado Inc's NPI number?

The NPI number for Pediatric Telehealth Of Colorado Inc is 1083312912. It was assigned to this organization in the NPPES registry on February 20, 2023.

Q: What is Pediatric Telehealth Of Colorado Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Active since February 20, 2023

356 S MCCULLOCH BLVD STE 106, PUEBLO, CO 81007(719) 251-2186(833) 941-1671 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 14, 2025, Oct 5, 2023, Feb 20, 2023 (3 updates tracked since 2023).

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About Pediatric Telehealth Of Colorado Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC TELEHEALTH OF COLORADO INC (NPI 1083312912) is a healthcare organization registered as a pediatrics in Pueblo, Colorado and active in the NPI registry since February 2023. The organization lists Brooke Erin Douglas, Pediatric Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1083312912

Entity TypeOrganization

Primary Taxonomy363LP0200X

Legal Business NamePEDIATRIC TELEHEALTH OF COLORADO INC

Location Address356 S MCCULLOCH BLVD STE 106Pueblo, CO 81007-2848

Mailing Address930 S Cayuga DrPueblo, CO 81007-1935 · (719) 251-2186 · Fax (719) 207-7087

Phone(719) 251-2186

Fax(833) 941-1671

Organization SubpartNo

Authorized OfficialBrooke Erin DouglasPediatric Nurse Practitioner · (719) 251-2186

Enumeration DateFebruary 20, 2023

Last NPPES UpdateMay 14, 20253 updates tracked since enumeration

NPPES CertifiedMay 14, 2025

✔ NPI 1083312912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

356 S MCCULLOCH BLVD STE 106, Pueblo, CO 81007

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AARON J WILSON D.C.

Chiropractor

356 S MCCULLOCH BLVD STE 106
PUEBLO WEST, CO 81007

Pueblo County (719) 647-2206

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Telehealth Of Colorado Inc's NPI number?

The NPI number for Pediatric Telehealth Of Colorado Inc is 1083312912. It was assigned to this organization in the NPPES registry on February 20, 2023.

Where is Pediatric Telehealth Of Colorado Inc located?

Pediatric Telehealth Of Colorado Inc is located at 356 S Mcculloch Blvd Ste 106, Pueblo, CO 81007. The listed phone number is (719) 251-2186.

What is Pediatric Telehealth Of Colorado Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Pediatric Telehealth Of Colorado Inc was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.