Individual provider Active NPI

Christy Tran Kleinke, DO

  • Family Medicine Physician
  • Lafayette, CO
National Provider Identifier
1205017720
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0057380 Issued in CO
Practice address
1000 W South Boulder Rd
Suite 110
Lafayette, CO 80026-2752
Phone
(303) 415-4355
Fax
(303) 666-1982
NPI assigned
Nov 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0057380 CO Primary

Addresses

Primary practice location

1000 W South Boulder Rd
Suite 110
Lafayette, CO 80026-2752

Mailing address

5450 Western Ave
Boulder, CO 80301-2709
Phone (303) 415-4355

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161004000682 CO Practitioner - Family Practice 7012205230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Physical Therapy of West Denver Limited PartnershipGroup PAC ID 6709771157, shared by 5 NPIs, 530 clinicians
Rocky Mountain Primary Care , PCGroup PAC ID 3779471677, 38 clinicians

Practice addresses (Care Compare)

2152 E 88TH Ave
Thornton, CO 80229-5023
Phone (303) 227-0400

3520 W 92ND Ave
Suite 104
Westminster, CO 80031-3304
Phone (303) 429-6600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Primary Care , PC Family Medicine CurrentSince Jan 1, 2025 Accepting new patients
Boulder Community Health Past Accepting new patients

Locations

5730 Ward Rd
Ste 102
Arvada, CO 80002
Phone (303) 422-6331

3520 W 92nd Ave
Ste 104
Westminster, CO 80031
Phone (303) 429-6600

7625 W 92nd Ave
Westminster, CO 80021
Phone (303) 252-7790

Interoperability endpoints

  • Direct secure messaging: christy.kleinke.1@15135.direct.athenahealth.com
  • Direct secure messaging: ckleinke@bch.gwaydirect.com

Organizations & group practices 2

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": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1205017720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 WESTERN AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012709",
            "telephone_number": "303-415-4355",
            "fax_number": "303-666-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W SOUTH BOULDER RD",
            "address_2": "SUITE 110",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262752",
            "telephone_number": "303-415-4355",
            "fax_number": "303-666-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINKE",
        "first_name": "CHRISTY",
        "middle_name": "TRAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0057380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

Verify at the official NPI Registry.