Active NPI
Kim C Stephens, LA.C
- Clinic/Center
- Boulder, CO
National Provider Identifier
1003137498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 0002621
- Practice address
- 119 Ucb
Boulder, CO 80309-5001 - Phone
- (303) 492-5432
- Fax
- (303) 492-1341
- NPI assigned
- Jun 20, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 0002621 | CO | Primary |
Addresses
Primary practice location
119 Ucb
Boulder, CO 80309-5001
Mailing address
1900 Wardenburg Drive 119 Ucb
Boulder, CO 80309-5001
Phone (303) 492-5432
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0002621 | CO | MD | Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778630400000",
"number": "1003137498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 WARDENBURG DRIVE 119 UCB",
"city": "BOULDER",
"state": "CO",
"postal_code": "803095001",
"telephone_number": "303-492-5432",
"fax_number": "303-492-1341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 UCB",
"city": "BOULDER",
"state": "CO",
"postal_code": "803095001",
"telephone_number": "303-492-5432",
"fax_number": "303-492-1341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "KIM",
"middle_name": "C",
"credential": "LA.C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-20",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "CO",
"license": "0002621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.