Active NPI
Kelly Korte, NP
- Family Nurse Practitioner
- Boulder, CO
National Provider Identifier
1396227864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0993968-NP
- Practice address
- 2750 Broadway St
Boulder, CO 80304-3573 - Phone
- (303) 440-3200
- Fax
- (303) 440-3232
- NPI assigned
- Aug 31, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0993968-NP | CO | Primary |
Addresses
Primary practice location
2750 Broadway St
Boulder, CO 80304-3573
Mailing address
660 Manorwood LN
Louisville, CO 80027-3240
Phone (618) 882-6000
Other practice location 1
401 W Hampden Pl Ste 250
Englewood, CO 80110-2471
Phone (720) 625-8043
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0993968-NP | CO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Infusions, LLC | Current | Accepting new patients | |
| Innovative Infusions, LLC | Current | Accepting new patients | |
| Innovative Infusions, LLC | Current | Accepting new patients |
Locations
8655 E Montview Blvd
Ste 120
Denver, CO 80238
Phone (720) 794-8237
Interoperability endpoints
- southsuburbanfamilymedicine.kellykorte@152398.advancedmd-direct.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 and National Provider Directory roles.
-
- Infusion Therapy Clinic/Center
- Denver, CO
- NPI 1437882081
-
- Infusion Therapy Clinic/Center
- Greenwood Village, CO
- NPI 1710689997
-
- Infusion Therapy Clinic/Center
- Indianapolis, IN
- NPI 1093512246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563235200000",
"number": "1396227864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 MANORWOOD LN",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800273240",
"telephone_number": "618-882-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2750 BROADWAY ST",
"city": "BOULDER",
"state": "CO",
"postal_code": "803043573",
"telephone_number": "303-440-3200",
"fax_number": "303-440-3232"
}
],
"practiceLocations": [
{
"address_1": "401 W Hampden Pl Ste 250",
"address_purpose": "LOCATION",
"city": "Englewood",
"state": "CO",
"postal_code": "801102471",
"country_code": "US",
"telephone_number": "720-625-8043",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KORTE",
"first_name": "KELLY",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-31",
"last_updated": "2019-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "0993968-NP",
"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 Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.