Kristine Latal, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1396 Issued in CO

Practice address

12250 E Iliff Ave
#300
Aurora, CO 80014-6318

Phone

(303) 306-4321

Fax

(720) 524-1551

NPI assigned

Nov 17, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Inpatient Consultants of Colorado PC

  • Hospitalist Physician
  • Aurora, CO
  • NPI 1720184690
  NPD (past)
• Inpatient Consultants of Colorado, PC

  • Internal Medicine Physician
  • Denver, CO
  • NPI 1538461256
  NPD (past)
• Senior Care of Colorado, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Aurora, CO
  • NPI 1659313062
  NPD (past)

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432598400000",
    "number": "1386626158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12250 E ILIFF AVE",
            "address_2": "#300",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800146318",
            "telephone_number": "303-306-4321",
            "fax_number": "720-524-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12250 E ILIFF AVE",
            "address_2": "#300",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800146318",
            "telephone_number": "303-306-4321",
            "fax_number": "720-524-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATAL",
        "first_name": "KRISTINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2015-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "1396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "93878087",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Trahan Lass, NP
• Stevie Nicole Lass, CNM
• Christine Laster
• Lasting Peace Counseling
• Kendra Dawn Lastowka, MD
• Lorraine Latchman, PSYD
• Kimberly L Latham
• Koriana Latrice Lathan
• Jenny Lathrop
• Latino Counseling LLC

• Medical Physician Assistant in Aurora, CO
• Providers in Aurora, CO by specialty
• Medical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.