Active NPI
Kate Marie Ziesenheim, PA-C
- Physician Assistant
- Centennial, CO
National Provider Identifier
1013494947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.0005556
- Practice address
- 6053 S Quebec St Ste 203
Centennial, CO 80111-4505 - Phone
- (720) 708-4287
- NPI assigned
- Jul 24, 2018
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.0005556 | CO | Primary |
Addresses
Primary practice location
6053 S Quebec St Ste 203
Centennial, CO 80111-4505
Mailing address
8245 S Fillmore Cir
Centennial, CO 80122-3434
Phone (720) 988-4694
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.0005556 | CO | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539216000000",
"number": "1013494947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8245 S FILLMORE CIR",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801223434",
"telephone_number": "720-988-4694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6053 S QUEBEC ST STE 203",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801114505",
"telephone_number": "720-708-4287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIESENHEIM",
"first_name": "KATE",
"middle_name": "MARIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-24",
"last_updated": "2018-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "PA.0005556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.