Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Callie Davidson, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1982289625

Callie Davidson, NURSEPRACTITIONER is a Nurse Practitioner in Pueblo, Colorado. Qualified in 2020, 6 years ago. Practices with Summit Primary Care, a 10-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
6
Licensed in
CO
In the registry since
2021
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Practice location Address checks out

1120 Minnequa Ave
Pueblo, CO 81004-3734
Phone: (719) 281-3285
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APN.0996306-NP (CO)

Record details

NPI number1982289625
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedMarch 15, 2021
Last updated in NPPESMarch 9, 2022
Certification dateMarch 9, 2022
Mailing address75 Printers Pkwy, Ste 200, Colorado Springs, CO 80910-3142

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Summit Primary Care — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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