Healthcare Provider Details

I. General information

NPI: 1912057035
Provider Name (Legal Business Name): KRISTEN BALL NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3207 N ACADEMY BLVD SUITE 3500
COLORADO SPRINGS CO
80917
US

IV. Provider business mailing address

3205 N ACADEMY BLVD STE 130
COLORADO SPRINGS CO
80917-5152
US

V. Phone/Fax

Practice location:
  • Phone: 719-344-6565
  • Fax:
Mailing address:
  • Phone: 719-344-6565
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPN.0002940-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: