Individual provider Active NPI

Kristin Leclair, NP

  • Obstetrics & Gynecology Nurse Practitioner
  • Highlands Ranch, CO
National Provider Identifier
1093768665
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
APN.0002416-NP Issued in CO
Practice address
1500 Park Central Dr
Highlands Ranch, CO 80129-6688
Phone
(720) 848-0000
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 2416 CO
Women's Health Nurse Practitioner 363LW0102X APN.0002416-NP CO
Obstetrics & Gynecology Nurse Practitioner 363LX0001X APN.0002416-NP CO Primary

Addresses

Primary practice location

1500 Park Central Dr
Highlands Ranch, CO 80129-6688

Mailing address

601 E Hampden Ave
# 370
Englewood, CO 80113-3781
Phone (303) 788-7888

Other practice location 1

601 E Hampden Ave
# 370
Englewood, CO 80113-3781
Phone (303) 788-7888

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
I20101109001474 CO Practitioner - Nurse Practitioner 7517970353 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2416COMDGynecology Physician
APN.0002416-NPCOMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
OB-GYN Affiliates CurrentSince Nov 20, 2002 Accepting new patients

Locations

7200 S Alton Way
Ste A100
Centennial, CO 80112
Phone (303) 730-2229

601 E Hampden Ave
Ste 370
Englewood, CO 80113
Phone (303) 788-7888

10103 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (303) 225-8120

10103 Ridgegate Pkwy
Ste 223
Lone Tree, CO 80124
Phone (303) 788-7888

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.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1093768665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E HAMPDEN AVE",
            "address_2": "# 370",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133781",
            "telephone_number": "303-788-7888",
            "fax_number": "303-788-7592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PARK CENTRAL DR",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801296688",
            "telephone_number": "720-848-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 E Hampden Ave",
            "address_2": "# 370",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801133781",
            "country_code": "US",
            "telephone_number": "303-788-7888",
            "fax_number": "303-788-7592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LECLAIR",
        "first_name": "KRISTIN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CO",
            "license": "2416",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CO",
            "license": "APN.0002416-NP",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "CO",
            "license": "APN.0002416-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

Verify at the official NPI Registry.