KATHERINE KELTO (NPI# 1023493939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023493939 |
| Entity Type | Individual |
| Full Name | KATHERINE KELTO |
| Other Name | KATHERINE BRANDON |
| Credential | NP |
| Practice Address |
6915 Tutt Blvd Suite 110b Colorado Springs CO 80923-3591 |
| Mailing Address |
1065 Ne 125th Street Suite 409 North Miami FL 33161-5834 |
| Practice Telephone | 7194451292 |
| Practice Fax Number | 7195916486 |
| Mailing Telephone | 8888526672 |
| Mailing Fax Number | 3055037363 |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2019-01-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN.1617420 | CO | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APN.0992076-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 21770085 | 05 |
| Street Address |
6915 TUTT BLVD SUITE 110B |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80923-3591 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073604658 | Leta Renee Browder | Nurse Practitioner | 6915 Tutt Blvd, Suite 110b, Colorado Springs, CO 80923-3592 | 2006-09-27 |
| 1871044727 | Bettina Hillyer | Counselor | 6915 Tutt Blvd, Suite 110b, Colorado Springs, CO 80923-3591 | 2016-10-16 |
| 1598161846 | Ingenious Personalized Medicine, LLC | Clinical Medical Laboratory | 6915 Tutt Blvd, #110a, Colorado Springs, CO 80923-3591 | 2014-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942171 | Colorado Otolaryngology Associates, LLC | Specialist | 6031 E. Woodmen Rd., Ste. 300, Colorado Springs, CO 80923 | 2020-11-06 |
| 1750993861 | Kara Pitou | Dietitian, Registered | 7064 Renegade Ridge Dr, Colorado Springs, CO 80923 | 2020-08-19 |
| 1366933632 | The Traveling Therapist, LLC | Social Worker | 6319 Sundance Kid Dr, Colorado Springs, CO 80923 | 2018-05-22 |
| 1669972246 | Stacy H Furukawa | Behavior Technician | 5719 Hawk Springs Dr, Colorado Springs, CO 80923 | 2018-02-20 |
| 1528573854 | Wal-mart Sores, Inc. | Durable Medical Equipment & Medical Supplies | 7825 Dublin Blvd, Colorado Springs, CO 80923 | 2017-12-08 |
| 1699148544 | Kristin Sekelsky | Nurse Practitioner | 6160 Tutt Blvd Ste 150, Colorado Springs, CO 80923 | 2015-11-01 |
| 1164826640 | Nancy Bakhtiar | Massage Therapist | 6160 Tutt Blve #102, Colorado Springs, CO 80923 | 2014-10-13 |
| 1558664326 | Helen Sobeck | Nurse Practitioner | 6001 E. Woodmen Road, Nicu St. Frances Medical Center, Colorado Springs, CO 80923 | 2010-12-16 |
| 1679891832 | Tristan Poe Lindberg | Pediatrics | 6001 E Woodmen Road, Colorado Springs, CO 80923 | 2010-05-12 |
| 1194058933 | Tiffany Ann Nelson | Physician Assistant | 6001 E. Woodmen Rd., St. Francis Medical Center - Nicu, Colorado Springs, CO 80923 | 2009-09-11 |
| Find all providers in zip 80923 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760009617 | Tiffany Taylor | Nurse Practitioner | 4729 Opus Dr, Colorado Springs, CO 80906-8694 | 2020-06-26 |
| 1053953786 | Eileen Deitsch | Nurse Practitioner | 5353 N Union Blvd Ste 201a, Colorado Springs, CO 80918-2065 | 2019-10-15 |
| 1043796949 | Erin Lee Recinos | Nurse Practitioner | 225 E Cheyenne Mountain Blvd Ste 220, Colorado Springs, CO 80906 | 2018-07-13 |
| 1114460979 | Alison Shapiro, Inc | Nurse Practitioner | 2020 W Colorado Ave Ste 206, Colorado Springs, CO 80904-3882 | 2016-11-28 |
| 1518376391 | Kady Williams | Nurse Practitioner | 2906 Beacon St Ste A, Colorado Springs, CO 80907-6193 | 2014-08-06 |
| 1437593894 | Lewis Wesley Swarthout Jr. | Nurse Practitioner | 615 S Nevada Ave, Colorado Springs, CO 80903-4005 | 2013-04-29 |
| 1366713679 | Psychiatric Services LLC | Nurse Practitioner | 730 Blackhawk Dr, Colorado Springs, CO 80919-1123 | 2012-01-18 |
| 1407123581 | Elena Mikhailovna Z Ollis | Nurse Practitioner | 3207 N Academy Blvd Ste 3300, Colorado Springs, CO 80917-5100 | 2011-11-17 |
| 1225352479 | Mountain Oasis Psychiatric Associates | Nurse Practitioner | 7305 Chancellor Dr, Colorado Springs, CO 80920-7150 | 2010-03-17 |
| 1053642728 | Kathy L Myatt | Nurse Practitioner | 630 Southpointe Ct Ste 104, Colorado Springs, CO 80906 | 2010-01-20 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80923 |
Please comment or provide details below to improve the information on KATHERINE KELTO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.