Individual provider Active NPI

Patricia Ann Kintzing, RN

  • College Health Registered Nurse
  • Boulder, CO
National Provider Identifier
1316169014
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
College Health Registered NurseTaxonomy code 163WC1400X
License
167802 Issued in CO
Practice address
Wardenburg Health Ctr
119Ucb
Boulder, CO 80309-0119
Phone
(303) 735-0678
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
College Health Registered Nurse 163WC1400X 167802 CO Primary

Addresses

Primary practice location

Wardenburg Health Ctr
119Ucb
Boulder, CO 80309-0119

Mailing address

4528 7TH St
Boulder, CO 80304-4394
Phone (303) 546-9443

Other identifiers 1

IdentifierTypeStateIssuer
167802OtherCORN

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
167802COMDCollege Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316169014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4528 7TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803044394",
            "telephone_number": "303-546-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WARDENBURG HEALTH CTR",
            "address_2": "119UCB",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803090119",
            "telephone_number": "303-735-0678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINTZING",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, College Health",
            "state": "CO",
            "license": "167802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "167802",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, 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.

Verify at the official NPI Registry.