Julie Kissner

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN.0995966-NP Issued in CO

Practice address

607 25 Rd Ste 201
Grand Junction, CO 81505-1287

Phone

(970) 242-1566

NPI assigned

Oct 15, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1013515600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 25 RD STE 201",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 25 RD STE 201",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051287",
            "telephone_number": "970-242-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISSNER",
        "first_name": "JULIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN0178637",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0995966-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Jeanne Kirtley, ATC
• Kiser Counseling Inc.
• Kiser Counseling, Inc
• Christine L. Kisselburgh, M.A.E.
• Crystal Reanee Kisselburgh, MA, LAC, LPCC
• Pamela Jean Kistenmacher
• Kit W Haddow, DDS
• Ethan Kitchell
• Melissa Kitchell, CCC-SLP
• Mary Jayne Kitchens, RN

• Family Nurse Practitioner in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.