Active NPI
Kristy Joelle States, OTR
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Denver, CO
National Provider Identifier
1275635773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- License
- 00000
- Practice address
- 1325 S Colorado Blvd Ste 206 BLDG B
Denver, CO 80222-3311 - Phone
- (303) 753-6611
- NPI assigned
- Sep 4, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Neuromusculoskeletal Medicine) Physician | 204C00000X | 00000 | CO | Primary |
Addresses
Primary practice location
1325 S Colorado Blvd Ste 206 BLDG B
Denver, CO 80222-3311
Mailing address
1826 S Linden Way
Denver, CO 80224-2161
Phone (303) 753-6611
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00000 | CO | MD | Clinical Cytogenetics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denver Injury Evaluation & Treatment Center, LTD. | Past | Accepting new patients | |
| Red Rocks Foot & Ankle Center PLLC | 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.
-
- Multi-Specialty Clinic/Center
- Denver, CO
- NPI 1790745800
-
- Foot Surgery Podiatrist
- Littleton, CO
- NPI 1760683841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275635773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1826 S LINDEN WAY",
"city": "DENVER",
"state": "CO",
"postal_code": "802242161",
"telephone_number": "303-753-6611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 S COLORADO BLVD STE 206 BLDG B",
"city": "DENVER",
"state": "CO",
"postal_code": "802223311",
"telephone_number": "303-753-6611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STATES",
"first_name": "KRISTY",
"middle_name": "JOELLE",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "204C00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine, Sports Medicine",
"state": "CO",
"license": "00000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.