Individual provider Active NPI

Karen Ruth Yocum, CPNP MSN

  • Pediatric Nurse Practitioner
  • Thornton, CO
National Provider Identifier
1265496988
Registry record updated May 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
95337 Issued in CO
Practice address
8889 Fox Dr
Suite a
Thornton, CO 80260-8841
Phone
(303) 430-0823
Fax
(303) 426-9581
NPI assigned
Apr 12, 2006
Last updated
May 17, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 95337 CO Primary

Addresses

Primary practice location

8889 Fox Dr
Suite a
Thornton, CO 80260-8841

Mailing address

15721 W 79TH PL
Arvada, CO 80007
Phone (303) 424-7173

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)
Not enrolled
Credentials
Certified Pediatric Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95337COMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mountainland Pediatrics PC Past Accepting new patients
Pediatric Associates Prof LLC Past Accepting new patients
Mountainland Pediatrics Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61114
  • Direct secure messaging: karen.yocum.1@11212.direct.athenahealth.com

Organizations & group practices 3

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": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368748800000",
    "number": "1265496988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15721 W 79TH PL",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "80007",
            "telephone_number": "303-424-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8889 FOX DR",
            "address_2": "SUITE A",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802608841",
            "telephone_number": "303-430-0823",
            "fax_number": "303-426-9581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOCUM",
        "first_name": "KAREN",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "CPNP MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2013-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CO",
            "license": "95337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; 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.