Individual provider Active NPI

Katherine Ream Palomino, CRNA

  • Certified Registered Nurse Anesthetist
  • Lakewood, CO
National Provider Identifier
1124353701
Registry record updated Apr 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0990681 Issued in CO
Practice address
3333 S. Wadsworth Blvd
#D-100
Lakewood, CO 80227
Phone
(303) 205-1090
Fax
(303) 531-4156
NPI assigned
Oct 15, 2009
Last updated
Apr 1, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 6196 KY
Certified Registered Nurse Anesthetist 367500000X 0990681 CO Primary

Addresses

Primary practice location

3333 S. Wadsworth Blvd
#D-100
Lakewood, CO 80227

Mailing address

3333 S. Wadsworth Blvd
#D-100
Lakewood, CO 80227
Phone (303) 205-1090

Other names 1

  • Miss Katherine Elaine Ream Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130814000330 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 8729113139 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Colorado Anesthesia Professionals PLLCGroup PAC ID 6800878760, 155 clinicians

Practice addresses (Care Compare)

2500 Rocky Mountain Ave
Loveland, CO 80538-9004

6767 29TH St
Greeley, CO 80634-5474
Phone (970) 224-2985

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
0990681COMDCertified Registered Nurse Anesthetist
6196KYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 8, 2020 Accepting new patients
Northern Colorado Anesthesia Professionals PLLC CurrentSince Aug 5, 2020 Accepting new patients
Anesthesia Associates of the Rockies LLC Past Accepting new patients

Locations

14272 E Evans Ave
Aurora, CO 80014
Phone (303) 425-2800

3702 Automation Way
Ste 103
Fort Collins, CO 80525
Phone (970) 495-6201

7000 W Colfax Ave
Lakewood, CO 80214
Phone (303) 671-5553

1001 Southpark Dr
Littleton, CO 80120
Phone (303) 531-5724

2500 Rocky Mountain Ave
Loveland, CO 80538
Phone (970) 297-6425

10001 Washington St
Thornton, CO 80229
Phone (303) 252-0083

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364774400000",
    "number": "1124353701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 S. WADSWORTH BLVD",
            "address_2": "#D-100",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "80227",
            "telephone_number": "303-205-1090",
            "fax_number": "303-531-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 S. WADSWORTH BLVD",
            "address_2": "#D-100",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "80227",
            "telephone_number": "303-205-1090",
            "fax_number": "303-531-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALOMINO",
        "first_name": "KATHERINE",
        "middle_name": "REAM",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-15",
        "last_updated": "2013-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "6196",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "0990681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "REAM",
            "middle_name": "ELAINE",
            "prefix": "MISS",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.