Active NPI
Kelly Michelle Pineda, R.N.
- Registered Nurse
- Denver, CO
National Provider Identifier
1326113911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 120417
- Practice address
- 1733 Vine St
Denver, CO 80206-1119 - Phone
- (303) 504-1057
- Fax
- (303) 394-9820
- NPI assigned
- Nov 21, 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 120417 | CO | Primary |
Addresses
Primary practice location
1733 Vine St
Denver, CO 80206-1119
Mailing address
8225 Fairmount Dr
#9-208
Denver, CO 80247-1128
Phone (303) 321-6527
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
| License | State | Type | Specialty |
|---|---|---|---|
| 120417 | CO | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326113911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8225 FAIRMOUNT DR",
"address_2": "#9-208",
"city": "DENVER",
"state": "CO",
"postal_code": "802471128",
"telephone_number": "303-321-6527",
"fax_number": "303-394-9820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1733 VINE ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802061119",
"telephone_number": "303-504-1057",
"fax_number": "303-394-9820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINEDA",
"first_name": "KELLY",
"middle_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "120417",
"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.