Healthcare Provider Details

I. General information

NPI: 1457575102
Provider Name (Legal Business Name): SHAYNA DAWN PIEDIMONTE MSN, RN, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6140 TUTT BLVD STE 120
COLORADO SPRINGS CO
80923-3574
US

IV. Provider business mailing address

6140 TUTT BLVD STE 120
COLORADO SPRINGS CO
80923-3574
US

V. Phone/Fax

Practice location:
  • Phone: 719-888-5181
  • Fax: 719-601-8859
Mailing address:
  • Phone: 719-888-5181
  • Fax: 719-601-8859

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0106681-C-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: