Kristen Michelle Vanackeren, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5860 Issued in CO

Practice address

8540 Scarborough Dr Ste 190
Colorado Springs, CO 80920-7518

Phone

(719) 365-9742

NPI assigned

Apr 2, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1215566328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8540 SCARBOROUGH DR STE 190",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207518",
            "telephone_number": "719-365-9742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 SCARBOROUGH DR STE 190",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207518",
            "telephone_number": "719-365-9742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANACKEREN",
        "first_name": "KRISTEN",
        "middle_name": "MICHELLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2023-11-27",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "5860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kristen.vanackeren@uchealth.org",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "UCH-MHS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8540 Scarborough Dr Ste 190",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809207518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elizabeth A Van Vliet, RN
• David Van Wagenen
• Ciara Elyse Van Wormer, LCSW
• Justine Ann Van Zee, DPT
• Anthonie Arend Van Zoeren
• Trenton Vanalstyne
• Samantha Vanaman
• Janice Vananrooy, LPC
• Alaina Marie Vanas
• Jessica Vanasse, DPT

• Physical Therapist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.