Active NPI
Kinetic Mind LLC
- Psychiatric/Mental Health Nurse Practitioner
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- KINETIC MIND LLC
- Practice address
- 1731 E 16TH Ave
Denver, CO 80218-1628 - Phone
- (720) 443-3490
- NPI assigned
- Jul 27, 2026
- Last updated
- Jul 27, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathryn Bouchard, ANP
- Title
- Nurse Practitioner
- Phone
- (720) 443-3490
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1731 E 16TH Ave
Denver, CO 80218-1628
Mailing address
12401 Clermont St
Thornton, CO 80241-3039
Phone (720) 202-9136
Other practice location 1
80 Garden Ctr
Broomfield, CO 80020-7087
Phone (720) 443-3490
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatry Physician
- Thornton, CO
- NPI 1134351356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785110400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785110400000",
"number": "1003738683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12401 CLERMONT ST",
"city": "THORNTON",
"state": "CO",
"postal_code": "802413039",
"telephone_number": "720-202-9136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1731 E 16TH AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802181628",
"telephone_number": "720-443-3490"
}
],
"practiceLocations": [
{
"address_1": "80 Garden Ctr",
"address_purpose": "LOCATION",
"city": "Broomfield",
"state": "CO",
"postal_code": "800207087",
"country_code": "US",
"telephone_number": "720-443-3490",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "KINETIC MIND LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-27",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A",
"authorized_official_last_name": "BOUCHARD",
"authorized_official_first_name": "KATHRYN",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "720-443-3490",
"authorized_official_credential": "ANP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.