Individual provider Active NPI

Kathryn Ann Terrill, MSN, PMHCNS-BC, RXN

  • Clinical Nurse Specialist
  • Denver, CO
National Provider Identifier
1073826459
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
74752-2820 Issued in CO
Practice address
90 Madison Street
Suite 102
Denver, CO 80206-5418
Phone
(720) 331-6899
Fax
(720) 306-5499
NPI assigned
Jul 14, 2010
Last updated
Aug 15, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X 74752-2820 CO Primary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 74752-2820 CO
Chronically Ill Psychiatric/Mental Health Clinical Nurse Specialist 364SP0811X 74752-2820 CO
Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist 364SP0813X 74752-2820 CO

Addresses

Primary practice location

90 Madison Street
Suite 102
Denver, CO 80206-5418

Mailing address

90 Madison Street
Suite 102
Denver, CO 80206-5150
Phone (720) 331-6899

Other names 1

  • Kathryn Ann Terrill-Torrez Former name

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
I20120305000650 CO Practitioner - Certified Clinical Nurse Specialist (CNS) 9335308782 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
74752-2820COMDChronically Ill Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Alder Grove Health Services, Inc CurrentSince May 30, 2018 Accepting new patients

Locations

90 Madison St
Ste 102
Denver, CO 80206
Phone (720) 331-6899

90 Madison St
Ste 302
Denver, CO 80206
Phone (720) 331-6899

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": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1073826459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MADISON STREET",
            "address_2": "SUITE 102",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065150",
            "telephone_number": "720-331-6899",
            "fax_number": "720-306-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 MADISON STREET",
            "address_2": "SUITE 102",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065418",
            "telephone_number": "720-331-6899",
            "fax_number": "720-306-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRILL",
        "first_name": "KATHRYN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MSN, PMHCNS-BC, RXN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-14",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "CO",
            "license": "74752-2820",
            "primary": true
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "CO",
            "license": "74752-2820",
            "primary": false
        },
        {
            "code": "364SP0811X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Chronically Ill",
            "state": "CO",
            "license": "74752-2820",
            "primary": false
        },
        {
            "code": "364SP0813X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Geropsychiatric",
            "state": "CO",
            "license": "74752-2820",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "TERRILL-TORREZ",
            "middle_name": "ANN",
            "credential": "MSN, PMHCNS-BC, RXN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.