Katelyn Bagtaz
Individual provider Active NPI Adult Health Nurse Practitioner · Aurora, CO
NPI 1164368239 · NPPES record last updated Aug 19, 2026
Key facts
- NPI
- 1164368239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 1674365 (CO)
- Practice address
- 760 Fulton St
Aurora, CO 80010-3914 - Phone
- (603) 365-1068
- NPI assigned
- Apr 28, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1674365 | CO | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 1674365 | CO | Yes |
Addresses
Primary practice location
760 Fulton St
Aurora, CO 80010-3914
Mailing address
760 Fulton St
Aurora, CO 80010-3914
Phone (603) 365-1068
Other providers in Aurora, CO
- Bagira Bagirova
- Anjuli Robin Bagley
- Christine Leigh Bagley
- Sandra Bagley
- Maricel Castillo Bagnall
- Sarah Baguidy
- Amna Bahadar
- Felicia Lynn Bahadue
- Ahmat Bahar
- Bhavyaa Bahl
All providers in Aurora, CO · Adult Health Nurse Practitioner in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.