Kristen Marie Lervik, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0005709 Issued in CO

Practice address

1551 Professional LN
Longmont, CO 80501-6972

Phone

(303) 604-5000

NPI assigned

Apr 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1409/brand/1/csg/1/fhir/r4

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.

• Boulder Valley Gastroenterology Inc.

  • Gastroenterology Physician
  • Lafayette, CO
  • NPI 1902832603
  Medicare reassignment
• Boulder Valley Gastroenterology Inc.

  • Gastroenterology Physician
  • Northglenn, CO
  • NPI 1043806276
  NPD
• Boulder Valley Gastroenterology Inc.

  • Gastroenterology Physician
  • Denver, CO
  • NPI 1134715360
  NPD
• Whitney S Kennedy MD PLLC

  • Primary Care Clinic/Center
  • Denver, CO
  • NPI 1962684381
  NPD (past)

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1194288522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 S ARTHUR AVE",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800273094",
            "telephone_number": "303-604-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 PROFESSIONAL LN",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016972",
            "telephone_number": "303-604-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4104 Tejon St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802111813",
            "country_code": "US",
            "telephone_number": "303-381-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LERVIK",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-11",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0005709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Leonard, MD
• Kelly Kay Leonard, M.S., R.D.
• Pamela J Leonhardt, PSY.D
• Derek G Leopold, MD
• Mark G Lersch, LPC
• Laurel Rae Leslie-Martin, D.D.S., M.S.
• Zachery Lesniak, D.C
• Grace Levasseur, MS, CCC-SLP
• David Leverett, OD
• Allyson Levin, LMT

• Physician Assistant in Longmont, CO
• Providers in Longmont, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.

Verify at the official NPI Registry.