Katherine Colleen Korenek, RN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

C-APN.0105855-C-NP Issued in CO

Practice address

1079 S Hover St Ste 200
Longmont, CO 80501-7924

Phone

(720) 680-8351

Fax

(303) 565-5290

NPI assigned

Feb 19, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Southern Magnolia Management LLCGroup PAC ID 7810391984, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southern Magnolia Management LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Spring, TX
  • NPI 1346866845
  Medicare reassignment Care Compare group NPD
• Pain Boss Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Tomball, TX
  • NPI 1770106692
  NPD (past)

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

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1184420457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1079 S HOVER ST STE 200",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805017924",
            "telephone_number": "720-680-8351",
            "fax_number": "303-565-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1079 S HOVER ST STE 200",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805017924",
            "telephone_number": "720-680-8351",
            "fax_number": "303-565-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORENEK",
        "first_name": "KATHERINE",
        "middle_name": "COLLEEN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-19",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "C-RXN.0103883-C-NP",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "937933",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "C-APN.0105855-C-NP",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1192374",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Koinis
• Michele Kolakowski, CD(DONA), RMT
• Gregg A. Koldenhoven, MD
• Bryant Koopmans
• Courtney Korban, CPM
• Martin A Koschnitzke, MD
• Patricia E Kostoff, MA
• Robin Kotula, N.P.
• Matthew D Kovach, DMD
• Craig Marshall Krager, ATC

• Psychiatric/Mental Health Nurse Practitioner in Longmont, CO
• Providers in Longmont, CO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.