Organization Active NPI

C a Kazmeroff Psychiatry, Inc

Doing business as Cornerstone Psychiatry

  • Nurse Practitioner
  • Parker, CO
National Provider Identifier
1164974572
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN.0990343-NP Issued in CO
Legal business name
C A KAZMEROFF PSYCHIATRY, INC
Doing business as
Cornerstone Psychiatry
Practice address
19641 E Parker Square Dr
Parker, CO 80134-7399
Phone
(720) 766-8321
Fax
(720) 358-5924
NPI assigned
Nov 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Authorized official

Name
Christy Kazmeroff, NP
Title
Nurse Practitioner, Owner
Phone
(720) 766-8321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X APN.0990343-NP CO Primary

Addresses

Primary practice location

19641 E Parker Square Dr
Parker, CO 80134-7399

Mailing address

19641 E Parker Square Dr Ste J
Parker, CO 80134-7397
Phone (720) 766-8321

Other names 1

  • Cornerstone Psychiatry Doing business as

National Provider Directory

National Provider Directory

Locations

19641 E Parker Square Dr
Parker, CO 80134
Phone (303) 840-3800

19641 E Parker Square Dr
Ste J
Parker, CO 80134
Phone (303) 841-2524

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581638400000",
    "number": "1164974572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19641 E PARKER SQUARE DR STE J",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801347397",
            "telephone_number": "720-766-8321",
            "fax_number": "720-358-5924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19641 E PARKER SQUARE DR",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801347399",
            "telephone_number": "720-766-8321",
            "fax_number": "720-358-5924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C A KAZMEROFF PSYCHIATRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-01",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A",
        "authorized_official_last_name": "KAZMEROFF",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER, OWNER",
        "authorized_official_telephone_number": "720-766-8321",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0990343-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cornerstone Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.