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

Kelly Jean Bleakney

Individual provider Registered Nurse · NPI 1235764374

Kelly Jean Bleakney is a Nurse Practitioner in Alamosa, Colorado. Qualified in 2020, 6 years ago. Practices with Lutheran Hospital Association of the San Luis Valley, a 150-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
6
Licensed in
CO
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

106 Blanca Ave
Alamosa, CO 81101-2340
Phone: (719) 589-2511
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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.0996244-NP (CO)
Registered Nurse Taxonomy 163W00000X · Licence 0161722 (CO)

Record details

NPI number1235764374
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 9, 2020
Last updated in NPPESFebruary 11, 2021
Certification dateJanuary 7, 2021

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 Lutheran Hospital Association Of The San Luis Valley — 150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Alamosa