Active NPI
Karen Lynn Nevins, PT
- Physical Therapist
- Boulder, CO
National Provider Identifier
1376834879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6166
- Practice address
- 3865 Birchwood Dr
Boulder, CO 80304-1428 - Phone
- (303) 877-4282
- Fax
- (303) 443-3453
- NPI assigned
- May 2, 2011
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6166 | CO | Primary |
Addresses
Primary practice location
3865 Birchwood Dr
Boulder, CO 80304-1428
Mailing address
PO Box 18112
Boulder, CO 80308-1112
Phone (303) 877-4282
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6166 | CO | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthlinks Clinic Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Boulder, CO
- NPI 1437115771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330473600000",
"number": "1376834879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 18112",
"city": "BOULDER",
"state": "CO",
"postal_code": "803081112",
"telephone_number": "303-877-4282",
"fax_number": "303-443-3453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3865 BIRCHWOOD DR",
"city": "BOULDER",
"state": "CO",
"postal_code": "803041428",
"telephone_number": "303-877-4282",
"fax_number": "303-443-3453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEVINS",
"first_name": "KAREN",
"middle_name": "LYNN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-02",
"last_updated": "2012-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "6166",
"primary": true
}
],
"identifiers": [],
"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 Feb 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.