SANCTUARY PEDIATRICS PLLC
NPI 1255158804
Nurse Practitioner - Pediatrics in Colorado Springs, CO
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 holds a CLIA Waiver certificate valid through July 9, 2027 and lists Jessica Donaldson, Owner Provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 06D2326810
Sanctuary Pediatrics · Colorado Springs, COOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COLORADO SPRINGS, CO 80921
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.
Does Sanctuary Pediatrics PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 06D2326810) is associated with this NPI, valid through July 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
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 2 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.
# Sanctuary Pediatrics Pllc · NPI 1255158804
Pediatrics organization in Colorado Springs, Colorado. Organization record, active in the CMS NPPES registry since September 24, 2024.
## Identity
- **NPI:** 1255158804 (Entity type: Organization)
- **Enumerated:** September 24, 2024
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **Organization subpart:** No
- **Authorized official:** Jessica Donaldson, OWNER PROVIDER
## Practice location
- **Address:** 11590 RIDGELINE DR STE 140, Colorado Springs, CO 80921-3969
- **Phone:** (719) 726-0765
## Record status
- **NPPES last updated:** May 20, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1255158804) · Data from the CMS NPPES public registry.