KIRSTIN LEA BERGSTROM


Address: 4900 E Kentucky Ave, Denver, CO 80246-2365
Phone: 3037560101

KIRSTIN LEA BERGSTROM (NPI# 1659899789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659899789
Entity Type Individual
Full Name KIRSTIN LEA BERGSTROM
Credential PA-C
Practice Address 4900 E Kentucky Ave
Denver
CO 80246-2365
Mailing Address 1600 Fillmore St Apt 1-127
Denver
CO 80206-1598
Practice Telephone 3037560101
Mailing Telephone 6788495256
Enumeration Date 2017-09-08
Last Update Date 2017-09-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA.0005073 CO Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4900 E KENTUCKY AVE
City DENVER
State CO
Zip Code 80246-2365

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942265624 Cherry Creek Pediatrics, PC Pediatrics 4900 E Kentucky Ave, Denver, CO 80246-2365 2006-04-18
1477194991 Christian Cole Stephens Physician Assistant 4900 E Kentucky Ave, Denver, CO 80246-2365 2019-10-06
1659734036 Ali Nell Russell Pediatrics 4900 E Kentucky Ave, Denver, CO 80246-2365 2016-04-01
1063732899 Mandy Elyse Hyatt Pediatrics 4900 E Kentucky Ave, Denver, CO 80246-2365 2010-06-03
1922321355 Laura Cecile Forest Physician Assistant 4900 E Kentucky Ave, Denver, CO 80246-2365 2010-03-12
1881926194 Rachel Schmela Nurse Practitioner 4900 E Kentucky Ave, Denver, CO 80246-2365 2010-02-11
1467694562 Amy Alison Pierce Pediatrics 4900 E Kentucky Ave, Denver, CO 80246-2365 2009-04-03
1508991936 Jody L Mathie Pediatrics 4900 E Kentucky Ave, Denver, CO 80246-2365 2007-02-23
1982739223 Matthew Patrick Dorighi Pediatrics 4900 E Kentucky Ave, Denver, CO 80246-2365 2007-02-23
1104951458 Richard Gustafson Pediatrics 4900 E Kentucky Ave, Denver, CO 80246-2365 2007-02-23
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962001438 Brian Andrew Kacvinsky Physician Assistant 1333 E 17th Ave, Denver, CO 80218-1526 2020-10-25
1346849957 Brittany Elizabeth Driscoll Physician Assistant 3056 S Grape Way, Denver, CO 80222-6810 2020-10-23
1912506528 Christina Walley Physician Assistant 1111 Ash St Apt 701, Denver, CO 80220-3758 2020-10-23
1184223794 Mckenzie Grace Physician Assistant 50 N Clarkson St Apt 205, Denver, CO 80218-3739 2020-10-23
1679183909 Skye Smock Physician Assistant 3704 Dexter St, Denver, CO 80207-1045 2020-08-02
1558982397 Aubrey Leigh Griffiths Physician Assistant 2890 Brighton Blvd Unit 347, Denver, CO 80216-5057 2020-05-04
1629616438 Danielle Lacy Physician Assistant 5033 Tucson Way, Denver, CO 80239-4339 2019-12-12
1811531189 Valerie C Sarni Physician Assistant 5974 Central Park Blvd, Denver, CO 80238-3993 2019-10-30
1578105615 Mackenzie Dwyer Physician Assistant 295 E Speer Blvd Apt 339, Denver, CO 80203-3562 2019-10-10
1871149831 Miles Saenger Physician Assistant 6127 S Hwy 16, Denver, NC 28037-9220 2019-08-15
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Competitor

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City DENVER
Zip Code 80246

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Dataset Information

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.

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