Individual provider Active NPI

Kathryn S Skitt, PA

  • Physician Assistant
  • Aurora, CO
National Provider Identifier
1336401843
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0003823 Issued in CO
Practice address
4916 S Buchanan St
Aurora, CO 80016-5949
Phone
(843) 350-8552
Fax
(720) 368-5187
NPI assigned
Jun 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0003823 CO Primary

Addresses

Primary practice location

4916 S Buchanan St
Aurora, CO 80016-5949

Mailing address

12470 York St Unit 657
Eastlake, CO 80614-3027

Other practice location 1

6901 Lookout Rd
Boulder, CO 80301-3529
Phone (720) 577-4422

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160204000465 CO Practitioner - Physician Assistant 6901062512 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs of Denver, Inc. Physician Assistant CurrentSince May 1, 2021 Accepting new patients
Clinica Campesina Family Health Services CurrentSince Dec 23, 2015 Accepting new patients
Clinica Campesina Family Health Services CurrentSince Dec 23, 2015 Accepting new patients
Uhs of Centennial Peaks, LLC Physician Assistant CurrentSince Jun 1, 2021 Accepting new patients
Denver Springs Physician Group, LLC Past Accepting new patients
Denver Springs Physician Group LLC Past Accepting new patients

Locations

8565 Poplar Way
Highlands Ranch, CO 80130
Phone (720) 348-2800

1735 S Public Rd
Lafayette, CO 80026
Phone 30366530361061

1345 Plaza Ct N
Ste 1A
Lafayette, CO 80026
Phone (303) 665-2962

1735 S Public Rd
Ste 203
Lafayette, CO 80026

2255 S 88th St
Louisville, CO 80027
Phone (303) 666-2095

Organizations & group practices 9

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": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1336401843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12470 YORK ST UNIT 657",
            "city": "EASTLAKE",
            "state": "CO",
            "postal_code": "806143027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4916 S BUCHANAN ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800165949",
            "telephone_number": "843-350-8552",
            "fax_number": "720-368-5187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6901 Lookout Rd",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803013529",
            "country_code": "US",
            "telephone_number": "720-577-4422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKITT",
        "first_name": "KATHRYN",
        "middle_name": "S",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0003823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.