Healthcare Provider Details

I. General information

NPI: 1326552290
Provider Name (Legal Business Name): KATHERINE LEE SEARL PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2017
Last Update Date: 09/01/2025
Certification Date: 09/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5142 N ACADEMY BLVD # 1073
COLORADO SPRINGS CO
80918-4002
US

IV. Provider business mailing address

5450 VILLA CIR
COLORADO SPRINGS CO
80918-2226
US

V. Phone/Fax

Practice location:
  • Phone: 719-684-6862
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP.0993568-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: