Individual provider Active NPI

Kristine Reimer, ND, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Salem, OR
National Provider Identifier
1285766386
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0005377-NP Issued in CO
Practice address
VA - Salem Cboc
1750 McGilchrist St Ste 130
Salem, OR 97302-1691
Phone
(970) 304-2200
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0005377-NP CO Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 119947 CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0005377 CO

Addresses

Primary practice location

VA - Salem Cboc
1750 McGilchrist St Ste 130
Salem, OR 97302-1691

Mailing address

VA - Salem Cboc
1750 McGilchrist St Ste 130
Salem, OR 97302-1691
Phone (970) 304-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110831000745 CO Practitioner - Nurse Practitioner 6002950367 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
119947COMDPsychiatric/Mental Health Nurse Practitioner
APN.0005377COMDPsychiatric/Mental Health Nurse Practitioner
APN.0005377-NPCOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Colorado Hospital Authority CurrentSince Jan 1, 2021 Accepting new patients
University of Colorado Hospital Authority CurrentSince Jan 1, 2021 Accepting new patients

Locations

1693 Quentin St
Aurora, CO 80045
Phone (720) 848-3000

12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006

7901 E Lowry Blvd
Ste 3
Denver, CO 80230

7403 Church Ranch Blvd
Westminster, CO 80021
Phone (720) 848-9400

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1285766386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VA - SALEM CBOC",
            "address_2": "1750 MCGILCHRIST ST STE 130",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021691",
            "telephone_number": "970-304-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VA - SALEM CBOC",
            "address_2": "1750 MCGILCHRIST ST STE 130",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021691",
            "telephone_number": "970-304-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIMER",
        "first_name": "KRISTINE",
        "name_prefix": "Dr.",
        "credential": "ND, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0005377-NP",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "119947",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0005377",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.