Individual provider Active NPI

Kimberly Marie Farber, APRN-BC

  • Family Nurse Practitioner
  • Aurora, CO
National Provider Identifier
1346314770
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
115260 Issued in CO
Practice address
13120 E Mississippi Ave
Aurora, CO 80012-3427
Phone
(720) 282-3578
Fax
(303) 353-4206
NPI assigned
Nov 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 115260 CO Primary

Addresses

Primary practice location

13120 E Mississippi Ave
Aurora, CO 80012-3427

Mailing address

10044 Hannibal St
Commerce City, CO 80022-9369
Phone (303) 997-7660

Other practice location 1

5870 S Kipling Pkwy
Littleton, CO 80127-2070
Phone (855) 925-4733

Other identifiers 1

IdentifierTypeStateIssuer
40603032MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Moazam PA CurrentSince Mar 5, 2019 Accepting new patients
Moazam PA CurrentSince Mar 5, 2019 Accepting new patients

Locations

1700 W 100th Ave
Ste 100
Thornton, CO 80260

14470 Horizon Blvd
Ste Aj
Horizon City, TX 79928

Interoperability endpoints

  • Direct secure messaging: kimberly.farber@9942.chartlogic.direct-ci.com

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": "1163808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1346314770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10044 HANNIBAL ST",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800229369",
            "telephone_number": "303-997-7660",
            "fax_number": "303-997-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13120 E MISSISSIPPI AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800123427",
            "telephone_number": "720-282-3578",
            "fax_number": "303-353-4206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5870 S Kipling Pkwy",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801272070",
            "country_code": "US",
            "telephone_number": "855-925-4733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARBER",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-18",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "115260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40603032",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.