Kimberly K Maddock, RNC NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

CO 79120 Issued in CO

Practice address

7950 Kipling St
Suite 201
Arvada, CO 80005

Phone

(303) 424-6466

Fax

(303) 420-8944

NPI assigned

Nov 3, 2006

Sex

Female

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Obstetrix Medical Group of Colorado P C

  • Neonatal-Perinatal Medicine Physician
  • Denver, CO
  • NPI 1700983103

  Women'S Health

  Medicare reassignment NPD
• Obstetrix Medical Group of Colorado P C

  • Pediatric Cardiology Physician
  • Denver, CO
  • NPI 1497779276
  NPD

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124107933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 KIPLING ST",
            "address_2": "SUITE 201",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "80005",
            "telephone_number": "303-424-6466",
            "fax_number": "303-420-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 KIPLING ST",
            "address_2": "SUITE 201",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "80005",
            "telephone_number": "303-424-6466",
            "fax_number": "303-420-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDOCK",
        "first_name": "KIMBERLY",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "RNC NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CO",
            "license": "CO 79120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Luti
• Christopher John Lynch, DC, MPAS, PA-C
• Kristen Lynch, MS, CCC-SLP
• Nadir Maaiah
• Debra Jean Mackillop
• Angela Madrid, AUD
• Sonja Madsen, PTA
• Jamie Magdic, RDN
• Meredith Lindsay Magnelli, PHARMD
• Magnolia Healthcare LLC

• Women's Health Nurse Practitioner in Arvada, CO
• Providers in Arvada, CO by specialty
• Women's Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.