Individual provider Active NPI

Kathryn E Kurtenbach, PA-C

  • Physician Assistant
  • Lone Tree, CO
National Provider Identifier
1194359422
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
9960 Sky Ridge Ave
Lone Tree, CO 80124-5644
Phone
(303) 706-1616
Fax
(303) 706-0151
NPI assigned
Feb 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

9960 Sky Ridge Ave
Lone Tree, CO 80124-5644

Mailing address

9960 Sky Ridge Ave
Lone Tree, CO 80124-5644
Phone (303) 706-1616

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200603000138 CO Practitioner - Physician Assistant 6103247960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Ear Nose and Throat PCGroup PAC ID 7012971559, 9 clinicians

Practice addresses (Care Compare)

9960 Sky Ridge Ave
Lone Tree, CO 80124-5644
Phone (303) 706-1616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1194359422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9960 SKY RIDGE AVE",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245644",
            "telephone_number": "303-706-1616",
            "fax_number": "303-706-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9960 SKY RIDGE AVE",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245644",
            "telephone_number": "303-706-1616",
            "fax_number": "303-706-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURTENBACH",
        "first_name": "KATHRYN",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

Verify at the official NPI Registry.