Individual provider Active NPI

Carolyn Marie Kolenc

  • Nurse's Aide
  • Grand Junction, CO
National Provider Identifier
1427602762
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
723460 Issued in CO
Practice address
631 Karen Lee Dr
Grand Junction, CO 81504-5233
Phone
(970) 261-9510
NPI assigned
Jul 25, 2019
Last updated
Jul 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 723460 CO Primary

Addresses

Primary practice location

631 Karen Lee Dr
Grand Junction, CO 81504-5233

Mailing address

631 Karen Lee Dr
Grand Junction, CO 81504-5233
Phone (970) 261-9510

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
723460COMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1427602762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 KAREN LEE DR",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815045233",
            "telephone_number": "970-261-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 KAREN LEE DR",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815045233",
            "telephone_number": "970-261-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLENC",
        "first_name": "CAROLYN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "CO",
            "license": "723460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.