Active NPI
Kay Lynne Redman, MD
- Internal Medicine Physician
- Limon, CO
National Provider Identifier
1154321818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 48810
- Practice address
- 615 2ND St # 3
Limon, CO 80828-5133 - Phone
- (319) 651-9936
- Fax
- (505) 782-7551
- NPI assigned
- Jul 26, 2005
- Last updated
- Jun 22, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 48810 | CO | Primary |
| Internal Medicine Physician | 207R00000X | 200100082 | NC |
Addresses
Primary practice location
615 2ND St # 3
Limon, CO 80828-5133
Mailing address
615 2ND St # 3
Limon, CO 80828-5133
Phone (319) 651-9936
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000K6482 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48810 | CO | MD | Internal Medicine Physician |
| 200100082 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zuni Indian Hospital | Current | Accepting new patients |
Organizations & group practices 1
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": "1122336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655856000000",
"number": "1154321818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 2ND ST # 3",
"city": "LIMON",
"state": "CO",
"postal_code": "808285133",
"telephone_number": "319-651-9936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 2ND ST # 3",
"city": "LIMON",
"state": "CO",
"postal_code": "808285133",
"telephone_number": "319-651-9936",
"fax_number": "505-782-7551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDMAN",
"first_name": "KAY",
"middle_name": "LYNNE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-26",
"last_updated": "2022-06-22",
"certification_date": "2022-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "48810",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "200100082",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000K6482",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Limon, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.