Active NPI
Kelley G Rogers, NP
- Women's Health Nurse Practitioner
- Boulder, CO
National Provider Identifier
1245408111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- APN.0992120-NP
- Practice address
- 2525 Arapahoe Ave Ste 200
Boulder, CO 80302-6720 - Phone
- (303) 447-1040
- Fax
- (303) 447-2882
- NPI assigned
- Feb 13, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | RN.1634529 | CO | |
| Women's Health Nurse Practitioner | 363LW0102X | APN.0992120-NP | CO | Primary |
Addresses
Primary practice location
2525 Arapahoe Ave Ste 200
Boulder, CO 80302-6720
Mailing address
701 San Mateo Blvd NE
Albuquerque, NM 87108-1434
Phone (052) 659-5115
Other practice location 1
7735 Wadsworth Blvd Unit D
Arvada, CO 80003-2131
Phone (303) 425-6624
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881743631 | Medicaid | CO |
Other names 1
- Kelley Griffith
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN.0992120-NP | CO | MD | Women's Health Nurse Practitioner |
| RN.1634529 | CO | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University Health Care Associates, Inc | Past | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
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.
-
- General Practice Physician
- Indianapolis, IN
- NPI 1902032832
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627344000000",
"number": "1245408111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 SAN MATEO BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871081434",
"telephone_number": "052-659-5115",
"fax_number": "505-268-4350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 ARAPAHOE AVE STE 200",
"city": "BOULDER",
"state": "CO",
"postal_code": "803026720",
"telephone_number": "303-447-1040",
"fax_number": "303-447-2882"
}
],
"practiceLocations": [
{
"address_1": "7735 Wadsworth Blvd Unit D",
"address_purpose": "LOCATION",
"city": "Arvada",
"state": "CO",
"postal_code": "800032131",
"country_code": "US",
"telephone_number": "303-425-6624",
"fax_number": "303-425-6101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROGERS",
"first_name": "KELLEY",
"middle_name": "G",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-13",
"last_updated": "2021-07-27",
"certification_date": "2021-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CO",
"license": "RN.1634529",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CO",
"license": "APN.0992120-NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1881743631",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KELLEY",
"last_name": "GRIFFITH",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.