Individual provider Active NPI

Kathleen Rye, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Basalt, CO
National Provider Identifier
1003054859
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
83962 Issued in CO
Practice address
234 Cody LN
Basalt, CO 81621-9106
Phone
(970) 927-6650
Fax
(970) 927-6659
NPI assigned
Feb 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 83962 CO Primary

Addresses

Primary practice location

234 Cody LN
Basalt, CO 81621-9106

Mailing address

PO Box 3768
234 Cody Lane
Basalt, CO 81621-3768
Phone (970) 927-6650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110628000700 CO Practitioner - Nurse Practitioner 9638357320 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Homedoc, PCGroup PAC ID 2961936927, 43 clinicians

Practice addresses (Care Compare)

2584 Reserve St
Erie, CO 80516-2505

8354 E Northfield Blvd
Suite 329
Denver, CO 80238-3131
Phone (720) 607-9207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
83962COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Homedoc, PC CurrentSince Jun 13, 2025 Accepting new patients
Wisdom Health PC CurrentSince May 1, 2018 Accepting new patients
Inpatient Consultants of Colorado PC Past Accepting new patients
Inpatient Consultants of Colorado, PC Past Accepting new patients

Locations

2919 Valmont Rd
Ste 204
Boulder, CO 80301
Phone (303) 938-1110

8354 E Northfield Blvd
#329
Denver, CO 80238
Phone (720) 607-9207

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1003054859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3768",
            "address_2": "234 CODY LANE",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816213768",
            "telephone_number": "970-927-6650",
            "fax_number": "970-927-6659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 CODY LN",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816219106",
            "telephone_number": "970-927-6650",
            "fax_number": "970-927-6659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYE",
        "first_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-02",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "83962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Basalt, CO

Sources for this page

Verify at the official NPI Registry.