Healthcare Provider Details

I. General information

NPI: 1104750686
Provider Name (Legal Business Name): KAYLEIGH NICOLE GARCIA FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9320 GRAND CORDERA PKWY STE 100
COLORADO SPRINGS CO
80924-7004
US

IV. Provider business mailing address

4755 LYDIA GRV
COLORADO SPRINGS CO
80916-5109
US

V. Phone/Fax

Practice location:
  • Phone: 719-282-6337
  • Fax:
Mailing address:
  • Phone: 469-496-8826
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberC-APN.0106929-C-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: