Active NPI
Kayle Hisey, PA-C, ATC
- Physician Assistant
- Frisco, CO
National Provider Identifier
1194292714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.0005571
- Practice address
- 360 Peak One Drive
Suite 180
Frisco, CO 80443 - Phone
- (970) 477-4451
- Fax
- (970) 477-7408
- NPI assigned
- Nov 1, 2018
- Last updated
- Nov 1, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.0005571 | CO | Primary |
Addresses
Primary practice location
360 Peak One Drive
Suite 180
Frisco, CO 80443
Mailing address
360 Peak One Drive
Suite 180
Frisco, CO 80443
Phone (970) 477-4451
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.0005571 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Hospital Colorado | Multi-Specialty | Current | Accepting new patients |
Interoperability endpoints
- khisey261497@direct.childrenscolorado.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541030400000",
"number": "1194292714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 PEAK ONE DRIVE",
"address_2": "SUITE 180",
"city": "FRISCO",
"state": "CO",
"postal_code": "80443",
"telephone_number": "970-477-4451",
"fax_number": "970-477-7408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 PEAK ONE DRIVE",
"address_2": "SUITE 180",
"city": "FRISCO",
"state": "CO",
"postal_code": "80443",
"telephone_number": "970-477-4451",
"fax_number": "970-477-7408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HISEY",
"first_name": "KAYLE",
"credential": "PA-C, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-01",
"last_updated": "2018-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "PA.0005571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frisco, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.