Kim Patricia Anderson, KIM ANDERSON RN

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

65871 Issued in CO

Practice address

11245 Huron St
Westminster, CO 80234-2806

Phone

(303) 338-4545

NPI assigned

Jan 17, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kim Patricia Thomson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1263686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263686400000",
    "number": "1003147984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 ARAPAHOE CIR",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271065",
            "telephone_number": "303-720-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11245 HURON ST",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342806",
            "telephone_number": "303-338-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KIM",
        "middle_name": "PATRICIA",
        "credential": "KIM ANDERSON RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-17",
        "last_updated": "2010-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "CO",
            "license": "65871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "THOMSON",
            "middle_name": "PATRICIA",
            "credential": "KIM THOMSON RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Allyson Anders
• Aaron I Anderson, M.S.
• Christian Anderson, PHD ACSW LCSW
• Clark Anderson, RRT
• Jarl Brendan Anderson, MA, MFTC
• Nicholas Anderson
• Tyler Ray Anderson, PHD
• Nicole Maria Andreassi
• Lori Lin Andres, LMFT
• Angel Medical Care, LLC

• All providers in Westminster, CO
• Pediatric Registered Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.