KIMBERLEY A REA (NPI# 1366407785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366407785 |
| Entity Type | Individual |
| Full Name | KIMBERLEY A REA |
| Credential | ARNP |
| Practice Address |
760 S Colorado Blvd Unit A Denver CO 80246-1900 |
| Mailing Address |
670 S Dahlia Cir Apt R-207 Glendale CO 80246-3303 |
| Practice Telephone | 3035019401 |
| Practice Fax Number | 3033006685 |
| Mailing Telephone | 3035019401 |
| Mailing Fax Number | 3033006685 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2015-05-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
1061543 | KY | Nursing Service Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
NP0006039 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4058P | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
0024170292 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 78012572 | 05 | |
| CO | MEDICARE PTAN | 321797YPNB | 01 |
| CO | MEDICARE | CO304703/CO307663 | 01 |
| RAILROAD MEDICARE | 00198508 | 01 |
| Street Address |
760 S COLORADO BLVD UNIT A |
| City | DENVER |
| State | CO |
| Zip Code | 80246-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336491075 | Urgent Care Solutions Glendale, P.C. | Clinic/Center | 760 S Colorado Blvd Unit A, Denver, CO 80246-1900 | 2012-10-04 |
| 1326306127 | Shaylin S Gandhi | Physician Assistant | 760 S Colorado Blvd Unit A, Denver, CO 80246-1900 | 2012-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043872377 | Anisha M Boggiano | Occupational Therapy Assistant | 4500 S Cherry Creek Dr, Suite 710, Denver, CO 80246 | 2019-07-08 |
| 1558824961 | Whitney Lynn Frisch | Licensed Practical Nurse | 4500 Cherry Creek S. Drive, Suite 710, Glendale, CO 80246 | 2019-04-11 |
| 1952865834 | Toni Qualantone | Counselor | 720 S Colorado Blvd., North Tower Penthouse, Suite 1353n, Denver, CO 80246 | 2019-01-25 |
| 1790255313 | Core Dermatology, Pllc | Dermatology | 425 South Cherry Suite 907, Glendale, CO 80246 | 2018-11-26 |
| 1689160194 | Alexia Bounkhong | Optometrist | 850 S Dahlia Circle, Apt F105, Denver, CO 80246 | 2018-07-09 |
| 1811494214 | Freedom Career Services LLC | Case Manager/Care Coordinator | 5300 E Cherry Creek South Dr Apt 522, Denver, CO 80246 | 2018-04-11 |
| 1801398094 | Megan Reynolds | Counselor | 1017 S. Birch St., B106, Glendale, CO 80246 | 2018-03-02 |
| 1295242014 | Seth Cameron Bender | Counselor | 720 S. Colorado Blvd., North Penthouse Tower, Suite 1353n, Denver, CO 80246 | 2018-01-02 |
| 1679093991 | Jeffery Washington | Counselor | 1066 S. Dahlia St. E32, Denver, CO 80246 | 2017-06-27 |
| 1013457795 | Jeff Johnston Dds PC | Dentist | 4500 East Cherry Creek Dr South, 100, Denver, CO 80246 | 2017-03-01 |
| Find all providers in zip 80246 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376798892 | Sean M Reed | Clinical Nurse Specialist | 1391 Speer Blvd Ste 600, Denver, CO 80204-2554 | 2008-11-25 |
| 1881054013 | Yuki Asakura | Clinical Nurse Specialist | 1391 Speer Blvd, Denver, CO 80204-2508 | 2016-03-01 |
| 1225403363 | Jennifer M Wilson | Clinical Nurse Specialist | 2525 S Downing St, Denver, CO 80210-5817 | 2015-12-01 |
| 1477927564 | Carrie Mcdermott | Clinical Nurse Specialist | 1391 Speer Blvd, Suite 600, Denver, CO 80204-2508 | 2015-11-30 |
| 1184974404 | Jessica Marlowe | Clinical Nurse Specialist | 1055 Clermont St, Denver, CO 80220-3808 | 2012-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154889608 | Open Arms Pain Clinic | Clinical Nurse Specialist | 4356 Montebello Dr Unit 25531, Colorado Springs, CO 80936-0019 | 2019-03-04 |
| 1437566122 | Jeanette Luella Fraser | Clinical Nurse Specialist | 24489 County Road 54, Greeley, CO 80631-9757 | 2014-07-15 |
| 1538673173 | Amelia Walden | Clinical Nurse Specialist | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2017-11-17 |
| 1598275109 | Jennifer Amalie Vinh | Clinical Nurse Specialist | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2017-10-09 |
| 1477902005 | Charlene Ann Stinnett | Clinical Nurse Specialist | 660 Golden Ridge Rd, Suite 110, Golden, CO 80401-9541 | 2016-06-04 |
| 1417337254 | Mary Murray | Clinical Nurse Specialist | 7700 S Broadway, Littleton, CO 80122-2602 | 2015-06-07 |
| 1003209727 | Primary Care Nps Inc | Clinical Nurse Specialist | 12081 W Alameda Pkwy, Lakewood, CO 80228-2701 | 2015-03-05 |
| 1760651988 | Barbara Anita Cook | Clinical Nurse Specialist | 175 S Union Blvd, Ste 300, Colorado Springs, CO 80910-3113 | 2008-02-21 |
| 1457544595 | Best Care for Wounds of Denver Inc | Clinical Nurse Specialist | 888 W Ithaca Ave, Englewood, CO 80110-3468 | 2007-08-22 |
| 1720281603 | Virginia Rae Davis | Clinical Nurse Specialist | 2551 W 84th Ave, Westminster, CO 80031-3807 | 2007-06-07 |
| Find all providers with the same taxonomy | ||||
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| 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.