Healthcare Provider Details

I. General information

NPI: 1952571077
Provider Name (Legal Business Name): EMILY BANKHEAD FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/04/2008
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2060 BRIARGATE PKWY STE 120
COLORADO SPRINGS CO
80920-7699
US

IV. Provider business mailing address

2060 BRIARGATE PKWY STE 120
COLORADO SPRINGS CO
80920-7699
US

V. Phone/Fax

Practice location:
  • Phone: 719-301-3800
  • Fax: 719-301-3855
Mailing address:
  • Phone: 719-301-3800
  • Fax: 719-301-3855

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License NumberAPN.0994991-NP
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0994991-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: