Active NPI
Virginia Elaine Kibler, PHD
- Psychologist
- Parker, CO
National Provider Identifier
1164580528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1310
- Practice address
- 11031 S Pikes Peak Drive
Suite G 103
Parker, CO 80138 - Phone
- (303) 841-1376
- Fax
- (303) 805-9139
- NPI assigned
- Dec 5, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1310 | CO | Primary |
Addresses
Primary practice location
11031 S Pikes Peak Drive
Suite G 103
Parker, CO 80138
Mailing address
11031 S Pikes Peak Drive
Suite G 103
Parker, CO 80138
Phone (303) 841-1376
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 1, 2023 through Nov 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1310 | CO | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164580528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11031 S PIKES PEAK DRIVE",
"address_2": "SUITE G 103",
"city": "PARKER",
"state": "CO",
"postal_code": "80138",
"telephone_number": "303-841-1376",
"fax_number": "303-805-9139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11031 S PIKES PEAK DRIVE",
"address_2": "SUITE G 103",
"city": "PARKER",
"state": "CO",
"postal_code": "80138",
"telephone_number": "303-841-1376",
"fax_number": "303-805-9139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIBLER",
"first_name": "VIRGINIA",
"middle_name": "ELAINE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "1310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parker, CO
Sources for this page
- 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.