Active NPI
Kristen Michelle Thessing, CPO
- Orthotist
- Woodland Park, CO
National Provider Identifier
1093221384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- 02572
- Practice address
- 406 E Grace Ave Ste B
Woodland Park, CO 80863-3127 - Phone
- (719) 684-4008
- NPI assigned
- Dec 21, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | 02572 | CO | |
| Orthotist | 222Z00000X | 02572 | CO | Primary |
Addresses
Primary practice location
406 E Grace Ave Ste B
Woodland Park, CO 80863-3127
Mailing address
1624 Sand Rd
Woodland Park, CO 80863-9206
Phone (719) 684-4008
Other practice location 1
1624 Sand Rd
Woodland Park, CO 80863-9206
Phone (719) 684-4008
Other names 1
- Cranial Kids
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
| License | State | Type | Specialty |
|---|---|---|---|
| 02572 | CO | MD | Orthotist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cranial Kids LLC | Orthotist | Current | Accepting new patients |
Locations
520 W Buena Ventura St
Ste 115
Colorado Springs, CO 80907
Phone (719) 896-5924
406 E Grace Ave
Ste B
Woodland Park, CO 80863
Phone (719) 684-4008
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 and National Provider Directory roles.
-
dba Cranial Kids
- Durable Medical Equipment & Medical Supplies
- Colorado Springs, CO
- NPI 1770065237
Orthotist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539734400000",
"number": "1093221384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1624 SAND RD",
"city": "WOODLAND PARK",
"state": "CO",
"postal_code": "808639206",
"telephone_number": "719-684-4008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 E GRACE AVE STE B",
"city": "WOODLAND PARK",
"state": "CO",
"postal_code": "808633127",
"telephone_number": "719-684-4008"
}
],
"practiceLocations": [
{
"address_1": "1624 Sand Rd",
"address_purpose": "LOCATION",
"city": "Woodland Park",
"state": "CO",
"postal_code": "808639206",
"country_code": "US",
"telephone_number": "719-684-4008",
"fax_number": "719-960-2074",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THESSING",
"first_name": "KRISTEN",
"middle_name": "MICHELLE",
"credential": "CPO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-21",
"last_updated": "2018-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "CO",
"license": "02572",
"primary": false
},
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "CO",
"license": "02572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CRANIAL",
"last_name": "KIDS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Woodland Park, CO
- Teller County Emergency Specialists
- Teller Green Transportation, LLC (Teller Cab)
- Teller Senior Coalition
- Tenacity Pain Management LLC (Tenacity Pain Management)
- Therapyworks LLC
- Matthew Lawrence Thessing, PT
- Shelly Thime, PA-C
- John Edward Thomas, RPH
- John R. Thomas, LPC
- Patrick Boyd Thomson, D.M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.