Healthcare Provider Details

I. General information

NPI: 1326974718
Provider Name (Legal Business Name): KATIE MARIE HATFIELD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5607 BARNES RD
COLORADO SPRINGS CO
80917-1347
US

IV. Provider business mailing address

9247 PRAIRIE CLOVER DR
COLORADO SPRINGS CO
80920-7649
US

V. Phone/Fax

Practice location:
  • Phone: 513-218-2670
  • Fax:
Mailing address:
  • Phone: 513-218-2670
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAPN.1002054-NP
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN.1002054-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: