Individual provider Active NPI

M Kathleen Bird, FNP-C

  • Family Nurse Practitioner
  • Grand Junction, CO
National Provider Identifier
1073365417
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN-0999592-NP Issued in CO
Practice address
3090 N 12TH St
Grand Junction, CO 81506-2814
Phone
(970) 241-2212
NPI assigned
Apr 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN-0999592-NP CO Primary

Addresses

Primary practice location

3090 N 12TH St
Grand Junction, CO 81506-2814

Mailing address

3090 N 12TH St
Grand Junction, CO 81506-2814
Phone (970) 241-2212

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250213003847 CO Practitioner - Nurse Practitioner 4688104037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marillac Clinic, Inc.Group PAC ID 1052634748, 19 clinicians

Practice addresses (Care Compare)

510 29
Grand Junction, CO 81504-5383
Phone (979) 200-1600

526 29
Grand Junction, CO 81504

526 29
Grand Junction, CO 81504-5383
Phone (970) 200-1600

Hospital & facility affiliations

  • Intermountain Health St. Mary'S Regional Hospital Hospital, Grand Junction, CO, CCN 060023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN-0999592-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marillac Clinic, Inc. CurrentSince Dec 13, 2024 Accepting new patients
Marillac Clinic, Inc. CurrentSince Dec 13, 2024 Accepting new patients
Marillac Clinic, Inc. Nurse Practitioner Current Accepting new patients
Marillac Clinic, Inc. PastSince May 7, 2024 Accepting new patients
Marillac Clinic, Inc Past Accepting new patients

Locations

2139 N 12th St
Grand Junction, CO 81501
Phone (970) 256-8449

2333 N 6th St
Grand Junction, CO 81501
Phone (970) 298-1782

1400 N 5th St
Rm A116
Grand Junction, CO 81501

87 Merchant Dr
Montrose, CO 81401
Phone (970) 252-8896

Interoperability endpoints

  • Direct secure messaging: kbird671583@direct.ochin.org

Organizations & group practices 5

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1073365417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3090 N 12TH ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815062814",
            "telephone_number": "970-241-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3090 N 12TH ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815062814",
            "telephone_number": "970-241-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRD",
        "first_name": "M KATHLEEN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN-0999592-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.