NPIMap

Individual provider Active NPI

Kellie Turner, M.D.

  • Family Medicine Physician
  • Meeker, CO
National Provider Identifier
1386758597
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36390 Issued in CO
Practice address
100 Pioneers Medical Center Dr
Meeker, CO 81641-3181
Phone
(970) 878-4014
Fax
(970) 878-3285
NPI assigned
Aug 18, 2006
Last updated
Feb 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 36390 CO Primary

Addresses

Primary practice location

100 Pioneers Medical Center Dr
Meeker, CO 81641-3181

Mailing address

345 Cleveland St
Meeker, CO 81641-3238
Phone (970) 878-4014

Other identifiers 1

IdentifierTypeStateIssuer
66401372MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kellie.turner.1@15970.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070314000441 CO Practitioner - Family Practice 1951404870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Colorado School of Medicine, Denver, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Pioneers Medical Ctr Dr
Meeker, CO 81641-3181
Phone (970) 878-5047

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36390COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Rio Blanco County Health Service District CurrentSince Jan 1, 2007 Accepting new patients
Eastern Rio Blanco County Health Service District Current Accepting new patients
Eastern Rio Blanco County Health Service District CurrentSince Jan 1, 2007 Accepting new patients

Locations

100 Pmc Dr
Meeker, CO 81641
Phone (970) 878-4014

345 Cleveland St
Meeker, CO 81641
Phone (970) 878-4014

Interoperability endpoints

  • Direct secure messaging: kellie.turner.1@15970.direct.athenahealth.com
  • Direct secure messaging: kellie.turner.1@31155.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1386758597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 CLEVELAND ST",
            "city": "MEEKER",
            "state": "CO",
            "postal_code": "816413238",
            "telephone_number": "970-878-4014",
            "fax_number": "970-878-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PIONEERS MEDICAL CENTER DR",
            "city": "MEEKER",
            "state": "CO",
            "postal_code": "816413181",
            "telephone_number": "970-878-4014",
            "fax_number": "970-878-3285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "KELLIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "36390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "66401372",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kellie.turner.1@15970.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "100 Pioneers Medical Center Dr",
            "city": "Meeker",
            "state": "CO",
            "country_code": "US",
            "postal_code": "816413181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Meeker, CO

Sources for this page

Verify at the official NPI Registry.