Individual provider Active NPI

Kendra Duckstein, APNP

  • Adult Health Nurse Practitioner
  • Parker, CO
National Provider Identifier
1144770694
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APN.0992399-NP Issued in CO
Practice address
19284 Cottonwood Dr Ste 204
Parker, CO 80138-3881
Phone
(303) 840-8346
Fax
(719) 542-7019
NPI assigned
Oct 8, 2016
Last updated
Oct 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RXN.0102056-NP CO
Adult Health Nurse Practitioner 363LA2200X 0992399 CO
Adult Health Nurse Practitioner 363LA2200X APN.0992399-NP CO Primary
Registered Nurse 163W00000X 0169809 CO
Registered Nurse 163W00000X RN.169809 CO

Addresses

Primary practice location

19284 Cottonwood Dr Ste 204
Parker, CO 80138-3881

Mailing address

PO Box 7702
Loveland, CO 80537-0702
Phone (970) 663-2742

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
I20170503000172 CO Practitioner - Nurse Practitioner 9335426261 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

115 E Riverwalk
Unit 200
Pueblo, CO 81003-3320
Phone (719) 543-8346

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0169809COMDRegistered Nurse
RN.169809COMDRegistered Nurse
0992399COMDAdult Health Nurse Practitioner
APN.0992399-NPCOMDAdult Health Nurse Practitioner
RXN.0102056-NPCOMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Vein Institute PLLC CurrentSince Nov 1, 2020 Accepting new patients
Colorado Imaging Associates P C CurrentSince Apr 1, 2017 Accepting new patients
Rocky Mountain Vein Institute Professional LLC CurrentSince Nov 1, 2020 Accepting new patients
Rocky Mountain Vein Institute, PLLC PastSince Jan 31, 2021 Accepting new patients

Locations

109 Latigo Ln
Ste D
Canon City, CO 81212
Phone (719) 766-8391

175 S Union Blvd
Ste 200
Colorado Springs, CO 80910
Phone (719) 372-5555

7 Spectrum Loop
Ste 145
Colorado Springs, CO 80921
Phone (719) 543-8346

1915 Wilmington Dr
Unit 100
Fort Collins, CO 80528
Phone (970) 267-2661

4848 Thompson Pkwy
Ste 300
Johnstown, CO 80534
Phone (970) 800-4145

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

1819 Denver West Dr
Ste 101
Lakewood, CO 80401
Phone (303) 854-9888

255 S Routt St
Ste 265
Lakewood, CO 80228
Phone (719) 299-3967

19284 Cottonwood Dr
Ste 204
Parker, CO 80138
Phone (303) 840-8346

115 E Riverwalk
Unit 200
Pueblo, CO 81003
Phone (719) 543-8346

Interoperability endpoints

  • Direct secure messaging: kendra.duckstein.p1@direct.americanvein.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1475884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1144770694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7702",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805370702",
            "telephone_number": "970-663-2742",
            "fax_number": "970-342-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19284 COTTONWOOD DR STE 204",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801383881",
            "telephone_number": "303-840-8346",
            "fax_number": "719-542-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCKSTEIN",
        "first_name": "KENDRA",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-08",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "RXN.0102056-NP",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "0992399",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "APN.0992399-NP",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "0169809",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.169809",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.