Individual provider Active NPI

Kathryn Rosenthal

  • Community Health Registered Nurse
  • Estes Park, CO
National Provider Identifier
1033651674
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
0069054 Issued in CO
Practice address
1601 Brodie Ave
Estes Park, CO 80517-7486
Phone
(970) 577-2054
NPI assigned
Nov 14, 2016
Last updated
Nov 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 0069054 CO Primary

Addresses

Primary practice location

1601 Brodie Ave
Estes Park, CO 80517-7486

Mailing address

1525 Blue Spruce Dr
Fort Collins, CO 80524-2004
Phone (970) 577-2054

Other identifiers 1

IdentifierTypeStateIssuer
0069054OtherCORN LICENSE

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

LicenseStateTypeSpecialty
0069054COMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
County of Larimer Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1033651674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 BLUE SPRUCE DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805242004",
            "telephone_number": "970-577-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 BRODIE AVE",
            "city": "ESTES PARK",
            "state": "CO",
            "postal_code": "805177486",
            "telephone_number": "970-577-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENTHAL",
        "first_name": "KATHRYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-14",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CO",
            "license": "0069054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "0069054",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Estes Park, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; 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.