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SANCTUARY PEDIATRICS PLLC
NPI 1255158804
Nurse Practitioner - Pediatrics in Colorado Springs, CO

Active since September 24, 2024
11590 RIDGELINE DR STE 140, COLORADO SPRINGS, CO 80921(719) 726-0765 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 20, 2026, Sep 25, 2024 (2 updates tracked since 2024).

About Sanctuary Pediatrics Pllc NPPES

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

SANCTUARY PEDIATRICS PLLC (NPI 1255158804) is a healthcare organization registered as a pediatrics in Colorado Springs, Colorado and active in the NPI registry since September 2024. The organization lists Jessica Donaldson, Owner Provider, as its authorized official.

NPPES Registry Identity

NPI1255158804
Entity TypeOrganization
Primary Taxonomy363LP0200X
Legal Business NameSANCTUARY PEDIATRICS PLLC
Location Address11590 RIDGELINE DR STE 140Colorado Springs, CO 80921-3969
Mailing Address11590 Ridgeline Dr Ste 140Colorado Springs, CO 80921-3969 · (719) 726-0765
Phone(719) 726-0765
Organization SubpartNo
Authorized OfficialJessica DonaldsonOwner Provider · (206) 941-4058
Enumeration DateSeptember 24, 2024
Last NPPES UpdateMay 20, 20262 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
✔ NPI 1255158804 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
11590 RIDGELINE DR STE 140, Colorado Springs, CO 80921
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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.

MRS. JESSICA L DONALDSON CPNP-PC
Nurse Practitioner (Pediatrics)
11590 RIDGELINE DR STE 140
COLORADO SPRINGS, CO 80921
El Paso County (719) 726-0765

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 Sanctuary Pediatrics PLLC's NPI number?

The NPI number for Sanctuary Pediatrics PLLC is 1255158804. It was assigned to this organization in the NPPES registry on September 24, 2024.

Where is Sanctuary Pediatrics PLLC located?

Sanctuary Pediatrics PLLC is located at 11590 Ridgeline Dr Ste 140, Colorado Springs, CO 80921. The listed phone number is (719) 726-0765.

What is Sanctuary Pediatrics PLLC'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 Sanctuary Pediatrics PLLC was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.