Kimberley Breanna Makela, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

.0009920377 Issued in CO

Practice address

4286 S Sherman St
Englewood, CO 80113-4721

Phone

(720) 346-3033

NPI assigned

Dec 6, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Agape Palliative Services, LLC

  • Home Health Agency
  • Greenwood Village, CO
  • NPI 1588973895
  NPD (past)

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512518400000",
    "number": "1093220576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4286 S SHERMAN ST",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801134721",
            "telephone_number": "720-346-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4286 S SHERMAN ST",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801134721",
            "telephone_number": "720-346-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKELA",
        "first_name": "KIMBERLEY",
        "middle_name": "BREANNA",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-06",
        "last_updated": "2017-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": ".0009920377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared Mahan, M.D.
• Winston Stevenson Mahler, RN
• Omnia Mahmoud
• Rhae Ellen Majerowski, D.C.
• Courtney Jeanne Majewski, FNP-BC
• Michael Makley, M.D.
• Mako Medical Laboratories, LLC
• Laura L. Malatchi, OTR
• Eric Malden, M.D.
• Mahnoor Hasan Malik, M.D.

• Social Worker in Englewood, CO
• Providers in Englewood, CO by specialty
• Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; 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.