Individual provider Active NPI

Kaitlyn Clure, NP

  • Adult Health Nurse Practitioner
  • Centennial, CO
National Provider Identifier
1255806196
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
0994362 Issued in CO
Practice address
6825 S Galena St Ste 200
Centennial, CO 80112-3630
Phone
(303) 741-0990
NPI assigned
Oct 8, 2018
Last updated
Apr 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 0994362 CO Primary
Registered Nurse 163W00000X 1624434 CO

Addresses

Primary practice location

6825 S Galena St Ste 200
Centennial, CO 80112-3630

Mailing address

906 Geenridge Lane
Castle Pines, CO 80108
Phone (720) 884-7621

Other practice location 1

12605 E 16th Ave
Aurora, CO 80045-2545
Phone (720) 884-7621

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
I20190318001674 CO Practitioner - Nurse Practitioner 6002156684 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Front Range Wound Care PCGroup PAC ID 5496133951, 5 clinicians
Nerve and Joint Institute PCGroup PAC ID 5991193062, 5 clinicians

Practice addresses (Care Compare)

6825 S Galena St
Suite 200
Centennial, CO 80112-3630
Phone (303) 741-0990

8510 Bryant St
Suite 140
Westminster, CO 80031-3845
Phone (720) 726-4523

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1624434COMDRegistered Nurse
0994362COMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nerve and Joint Institute PC CurrentSince Jul 1, 2022 Accepting new patients
Front Range Wound Care PC CurrentSince Apr 1, 2022 Accepting new patients

Locations

6825 S Galena St
Ste 200
Centennial, CO 80112
Phone (303) 741-0990

5390 N Academy Blvd
Ste 150
Colorado Springs, CO 80918
Phone (303) 741-0990

3553 Clydesdale Pkwy
Loveland, CO 80538
Phone (720) 726-4523

9351 Grant St
Ste 100
Thornton, CO 80229
Phone (303) 280-3893

8510 Bryant St
Ste 140
Westminster, CO 80031
Phone (720) 531-3976

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, 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": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1255806196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 GEENRIDGE LANE",
            "city": "CASTLE PINES",
            "state": "CO",
            "postal_code": "80108",
            "telephone_number": "720-884-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6825 S GALENA ST STE 200",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123630",
            "telephone_number": "303-741-0990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12605 E 16th Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800452545",
            "country_code": "US",
            "telephone_number": "720-884-7621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLURE",
        "first_name": "KAITLYN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-08",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "0994362",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "1624434",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.