Active NPI
Kirsten Daly
- Physician Assistant
- Centennial, CO
National Provider Identifier
1114507258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.0007426
- Practice address
- 13111 E Briarwood Ave Ste 105
Centennial, CO 80112-3925 - Phone
- (303) 632-3640
- Fax
- (303) 632-3642
- NPI assigned
- Apr 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | PA.0007426 | CO | Primary |
| Family Medicine Physician | 207Q00000X | 0007426 | CO |
Addresses
Primary practice location
13111 E Briarwood Ave Ste 105
Centennial, CO 80112-3925
Mailing address
13001 E 17TH PL RM E7019
Aurora, CO 80045-2570
Phone (719) 342-3895
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 S Colorado Blvd
Suite 600
Denver, CO 80246-1239
Phone (720) 724-3668
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0007426 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geraghty Family Medicine PC | Single Specialty | Current | Accepting new patients |
| Denver Wellness Associates | Past | Accepting new patients | |
| Denver Wellness Associates | Past | Accepting new patients | |
| Golden Peaks Family Medicine PC | Single Specialty | Past | Accepting new patients |
| Denver Wellness Associates | Single Specialty | Past | Accepting new patients |
Locations
13111 E Briarwood Ave
Ste 105
Centennial, CO 80112
Phone (303) 632-3640
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 6
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.
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Single Specialty
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Single Specialty
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- Centennial, CO
- NPI 1710032677
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661385600000",
"number": "1114507258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13001 E 17TH PL RM E7019",
"city": "AURORA",
"state": "CO",
"postal_code": "800452570",
"telephone_number": "719-342-3895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13111 E BRIARWOOD AVE STE 105",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801123925",
"telephone_number": "303-632-3640",
"fax_number": "303-632-3642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALY",
"first_name": "KIRSTEN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-13",
"last_updated": "2022-08-25",
"certification_date": "2022-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "CO",
"license": "PA.0007426",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CO",
"license": "0007426",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.