Individual provider Active NPI

Kathleen Marie Adams, DNP, FNP-C

  • Nurse Practitioner
  • Denver, CO
National Provider Identifier
1235855032
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0997965 Issued in CO
Practice address
950 17TH St Ste 200
Denver, CO 80202-2803
Phone
(303) 292-9992
NPI assigned
Oct 13, 2022
Last updated
Oct 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0997965 CO Primary

Addresses

Primary practice location

950 17TH St Ste 200
Denver, CO 80202-2803

Mailing address

225 S Harrison St Apt 506
Denver, CO 80209-3382

Other names 1

  • Kathleen Marie Fry Former name

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
I20230113002196 CO Practitioner - Nurse Practitioner 2769853514 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heartlight Family Clinic LLCGroup PAC ID 5597046219, 15 clinicians

Practice addresses (Care Compare)

1001 S Perry St
Suite 104B
Castle Rock, CO 80104-1950
Phone (720) 485-3178

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0997965COMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Downtowns Health Care LLC CurrentSince Oct 6, 2022 Accepting new patients
Redwood Medical LLC CurrentSince Mar 19, 2025 Accepting new patients

Locations

9660 Ralston Rd
Arvada, CO 80004
Phone (303) 996-2550

1411 S Potomac St
Ste 300
Aurora, CO 80012
Phone (303) 531-4910

1411 S Potomac St
Ste 140
Aurora, CO 80012
Phone (303) 337-3937

1001 S Perry St
Ste 104B
Castle Rock, CO 80104
Phone (303) 325-3901

950 17th St
Ste 200
Denver, CO 80202
Phone (303) 292-9992

3400 E Bayaud Ave
Ste 333
Denver, CO 80209
Phone (720) 485-3178

Organizations & group practices 4

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": "1665619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1235855032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S HARRISON ST APT 506",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802093382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 17TH ST STE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802022803",
            "telephone_number": "303-292-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "0997965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "FRY",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.