Individual provider Active NPI

Kristina M Gulbrandsen, AUD

  • Audiologist
  • Thornton, CO
National Provider Identifier
1114442449
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
9141 Grant St Ste 240
Thornton, CO 80229-4318
Phone
(303) 920-1015
NPI assigned
Aug 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 000884 CO
Audiologist 231H00000X Primary

Addresses

Primary practice location

9141 Grant St Ste 240
Thornton, CO 80229-4318

Mailing address

9141 Grant St Ste 240
Thornton, CO 80229-4318
Phone (303) 920-1015

Other practice location 1

7350 Broadway
Denver, CO 80221-3610
Phone (303) 853-1000

Other practice location 2

3059 Walnut St
Boulder, CO 80301-2509
Phone (303) 443-5085

Other identifiers 1

IdentifierTypeStateIssuer
000884OtherCODORA IDENTIFICATION

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gulbrandsenk@mapleton.us Mapleton Public Schools Adams 1

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
000884COMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Hearing Centers Audiologist PastSince Aug 18, 2017 Accepting new patients
Mapleton Public Schools Adams 1 PastSince Mar 4, 2021 Accepting new patients

Organizations & group practices 2

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": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1114442449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9141 GRANT ST STE 240",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294318",
            "telephone_number": "303-920-1015",
            "fax_number": "303-443-9786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9141 GRANT ST STE 240",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294318",
            "telephone_number": "303-920-1015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7350 Broadway",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802213610",
            "country_code": "US",
            "telephone_number": "303-853-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3059 Walnut St",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803012509",
            "country_code": "US",
            "telephone_number": "303-443-5085",
            "fax_number": "303-443-9786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GULBRANDSEN",
        "first_name": "KRISTINA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-08",
        "last_updated": "2022-07-21",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "000884",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORA IDENTIFICATION",
            "identifier": "000884",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gulbrandsenk@mapleton.us",
            "affiliation": "Y",
            "endpointDescription": "Secure email",
            "affiliationName": "Mapleton Public Schools Adams 1",
            "address_1": "7350 Broadway",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802213610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.