Pediatric Telehealth of Colorado Inc
NPI 1083312912ActiveOrganization· Nurse Practitioner, Pediatrics· Pueblo, CO
Nurse Practitioner, Pediatrics in Pueblo, Colorado, registered in NPPES in February 2023. The authorized official on file is Brooke Erin Douglas, CPNP, Pediatric Nurse Practitioner.
Overview
| NPI | 1083312912 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 20, 2023 |
| Last updated in NPPES | May 14, 2025 |
| Certified by provider | May 14, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Pediatrics Primary | 363LP0200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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