Active NPI
Robin Kotula, N.P.
- Family Nurse Practitioner
- Longmont, CO
National Provider Identifier
1306292511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN.00992016-NP
- Practice address
- 2345 Bent Way
Longmont, CO 80503 - Phone
- (303) 338-4545
- NPI assigned
- May 5, 2016
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN.00992016-NP | CO | Primary |
Addresses
Primary practice location
2345 Bent Way
Longmont, CO 80503
Mailing address
10350 E Dakota Ave
Denver, CO 80247-1314
Phone (303) 338-4545
Other practice location 1
120 Edgeview Dr
4410
Broomfield, CO 80021-8077
Phone (561) 312-6924
Other practice location 2
4590 W 121st Ave
Broomfield, CO 80020-5666
Phone (303) 439-4544
Other names 1
- Robin Sider
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.00992016-NP | CO | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536192000000",
"number": "1306292511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10350 E DAKOTA AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802471314",
"telephone_number": "303-338-4545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2345 BENT WAY",
"city": "LONGMONT",
"state": "CO",
"postal_code": "80503",
"telephone_number": "303-338-4545"
}
],
"practiceLocations": [
{
"address_1": "120 Edgeview Dr",
"address_2": "4410",
"address_purpose": "LOCATION",
"city": "Broomfield",
"state": "CO",
"postal_code": "800218077",
"country_code": "US",
"telephone_number": "561-312-6924",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4590 W 121st Ave",
"address_purpose": "LOCATION",
"city": "Broomfield",
"state": "CO",
"postal_code": "800205666",
"country_code": "US",
"telephone_number": "303-439-4544",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOTULA",
"first_name": "ROBIN",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-05",
"last_updated": "2018-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "APN.00992016-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROBIN",
"last_name": "SIDER",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.