Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

LEGACY INTEGRATED HEALTH LLC
NPI 1790608313
Nurse Practitioner - Women's Health in Colorado Springs, CO

Active since July 31, 2026
3585 VAN TEYLINGEN DR STE G, COLORADO SPRINGS, CO 80917(719) 649-9345 Get Directions Write a Review

NPPES record added: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Legacy Integrated Health Llc NPPES

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

LEGACY INTEGRATED HEALTH LLC (NPI 1790608313) is a healthcare organization registered as a women's health in Colorado Springs, Colorado and active in the NPI registry since July 2026. The organization lists Demetra Seriki, Provider/administrator, as its authorized official.

NPPES Registry Identity

NPI1790608313
Entity TypeOrganization
Primary Taxonomy363LW0102X
Legal Business NameLEGACY INTEGRATED HEALTH LLC
Location Address3585 VAN TEYLINGEN DR STE GColorado Springs, CO 80917-4872
Mailing Address3585 Van Teylingen Dr Ste GColorado Springs, CO 80917-4872 · (719) 649-9345
Organization SubpartYes
Authorized OfficialDemetra SerikiProvider/administrator · (719) 649-9345
Enumeration DateJuly 31, 2026
NPPES CertifiedJuly 31, 2026
NPI 1790608313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · Obstetrics & GynecologyTaxonomy 363LX0001X
3585 VAN TEYLINGEN DR STE G, Colorado Springs, CO 80917

Other Providers at the Same Location NPPES 2

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

Psychiatry & Neurology (Psychiatry)
3585 VAN TEYLINGEN DR STE G
COLORADO SPRINGS, CO 80917
Nurse Practitioner (Obstetrics & Gynecology)
3585 VAN TEYLINGEN DR STE G
COLORADO SPRINGS, CO 80917

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 Legacy Integrated Health LLC's NPI number?

The NPI number for Legacy Integrated Health LLC is 1790608313. It was assigned to this organization in the NPPES registry on July 31, 2026.

Where is Legacy Integrated Health LLC located?

Legacy Integrated Health LLC is located at 3585 Van Teylingen Dr Ste G, Colorado Springs, CO 80917. The listed phone number is (719) 649-9345.

What is Legacy Integrated Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

When was this NPI record last updated?

The NPPES record for Legacy Integrated Health LLC was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.