KIMBERLY DIRTH (NPI# 1548547540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548547540 |
| Entity Type | Individual |
| Full Name | KIMBERLY DIRTH |
| Other Name | KIMBERLY CRAY |
| Credential | PA |
| Practice Address |
16290 E Quincy Ave Aurora CO 80015-1594 |
| Mailing Address |
10350 E Dakota Ave Denver CO 80247-1314 |
| Practice Telephone | 3033384545 |
| Mailing Telephone | 3033384545 |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2019-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA.0004038 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 63733285 | 05 | |
| CO | KAISER COMMERCIAL NUMBER | 025484 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 19964 Hilltop Rd Ste A, Parker, CO 801347316 | 3038412212 |
| Street Address |
16290 E QUINCY AVE |
| City | AURORA |
| State | CO |
| Zip Code | 80015-1594 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225021116 | Sarah B Vanscoy | Pediatrics | 16290 E Quincy Ave, Aurora, CO 80015-1594 | 2005-08-25 |
| 1659907673 | Nicole Kapuranis | Pharmacist | 16290 E Quincy Ave, Aurora, CO 80015-1594 | 2020-03-21 |
| 1841704582 | Roberta Jean Evans | Massage Therapist | 16290 E Quincy Ave, Aurora, CO 80015-1594 | 2017-11-16 |
| 1982136396 | Ciprian Viziteu | Family Medicine | 16290 E Quincy Ave, Aurora, CO 80015-1594 | 2017-04-03 |
| 1245777077 | Trena Berube | Registered Nurse | 16290 E Quincy Ave, Aurora, CO 80015-1594 | 2017-01-31 |
| 1679027825 | Jessica Lucero | Specialist | 16290 E Quincy Ave, Aurora, CO 80015-1594 | 2016-08-04 |
| 1316390933 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 16290 E Quincy Ave, Aurora, CO 80015-1594 | 2016-07-19 |
| 1053767749 | Sean Carl Vidulich | Family Medicine | 16290 E Quincy Ave, Aurora, CO 80015-1594 | 2016-05-11 |
| 1164818886 | Katherine E Rostad | Family Medicine | 16290 E Quincy Ave, Aurora, CO 80015-1594 | 2015-04-09 |
| 1972998185 | Lori Evelyn Demayo | Registered Nurse | 16290 E Quincy Ave, Aurora, CO 80015-1594 | 2015-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679128326 | Heather Hartleroad | Counselor | 21699 E Quincy Ave Unit F, #352, Aurora, CO 80015 | 2019-08-08 |
| 1033602792 | 4abilities, LLC. | Non-emergency Medical Transport (VAN) | 5105 S Valdai Street, Aurora, CO 80015 | 2018-06-07 |
| 1952827719 | 1st Centennial Home Health LLP | Home Health | 5418 S Danube Way, Centennial, CO 80015 | 2017-08-14 |
| 1881132157 | 1st Allergy Asthma and Pediatrics Too, Inc. | Specialist | 15470 E Smoky Hill Road, Aurora, CO 80015 | 2017-02-07 |
| 1467909028 | Silver Touch Home Care | In Home Supportive Care | 21804 E. Lake Pl, Aurora, CO 80015 | 2016-09-01 |
| 1417302514 | Michelle Dinges | Dietitian, Registered | 5606 S Helena Ct, Centennial, CO 80015 | 2016-04-27 |
| 1043664907 | Gomgom Siregar | Home Health Aide | 5235 S Liverpool Way, Centennial, CO 80015 | 2016-04-18 |
| 1104280528 | Lloyd Reliford | Custodial Care Facility | 5556 S Jericho Way, Centennial, CO 80015 | 2016-04-12 |
| 1003279563 | Victoria Care Services | Respite Care | 17285 E Wagontrail Pkwy, Aurora, CO 80015 | 2016-04-01 |
| 1699130104 | Gina Michelle Fernandez | Physician Assistant | 14813 E Radcliff Pl, Aurora, CO 80015 | 2015-12-28 |
| Find all providers in zip 80015 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344917 | Jesse Hines | Physician Assistant | 11945 E Cornell Cir, Aurora, CO 80014-3151 | 2020-10-23 |
| 1124632815 | Jessica Ballou | Physician Assistant | 13001 E 17th Pl Rm E7019, Aurora, CO 80045-2570 | 2020-09-01 |
| 1134732373 | Brooke Schlachtenhaufen Owens | Physician Assistant | 22021 E Prentice Pl, Aurora, CO 80015-7516 | 2020-08-27 |
| 1346881109 | Kevin Fasing | Physician Assistant | 1635 Aurora Ct Ste F722, Aurora, CO 80045-2555 | 2019-10-03 |
| 1457914731 | Alison Henderson | Physician Assistant | 3680 S Biscay Ct, Aurora, CO 80013-3618 | 2019-04-22 |
| 1033678529 | Jenna Elyse Eisses | Physician Assistant | 2234 Kenyon Ct, Aurora, IL 60502-1393 | 2019-03-14 |
| 1386156339 | Eva Marie Doyle | Physician Assistant | 837 Hardin Ave, Aurora, IL 60506-4936 | 2017-10-31 |
| 1093244626 | Amanda Lynn Roche | Physician Assistant | 270 N Kingsway Dr, Aurora, IL 60506-4521 | 2017-06-07 |
| 1558899625 | Stacey Robyn Gundry | Physician Assistant | 13121 E 17th Ave # Ms 8414, Aurora, CO 80045-2535 | 2017-06-01 |
| 1568996486 | Hannah Griffin | Physician Assistant | 13123 E 16th Ave Ste 306-b, Aurora, CO 80045-7106 | 2017-04-18 |
| Find all providers in AURORA | ||||
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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.