Individual provider Active NPI

Katrina Mierkey, CPNP

  • Primary Care Nurse Practitioner
  • Lakewood, CO
National Provider Identifier
1457913592
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
C-APN.0001568-C-NP Issued in CO
Practice address
96 Wadsworth Blvd Unit 100
Lakewood, CO 80226-1516
Phone
(303) 239-8327
Fax
(303) 239-9946
NPI assigned
Jun 28, 2019
Last updated
Sep 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X C-APN.0001568-C-NP CO Primary

Addresses

Primary practice location

96 Wadsworth Blvd Unit 100
Lakewood, CO 80226-1516

Mailing address

96 Wadsworth Blvd Unit 100
Lakewood, CO 80226-1516
Phone (303) 239-8327

Other names 1

  • Katrina Mierkey Former name

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
Credentials
Certified Pediatric Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
C-APN.0001568-C-NPCOMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital Colorado Current Accepting new patients
Kidsfirst Pediatrics Prof., PLLC CurrentSince Sep 4, 2022 Accepting new patients
Margot a. Williams, D.O., P.C. PastSince Apr 11, 2021 Accepting new patients
Margot a. Williams, D.O., P.C. Past Accepting new patients

Locations

96 Wadsworth Blvd
Unit 100
Lakewood, CO 80226
Phone (303) 239-8327

Interoperability endpoints

  • Direct secure messaging: kmierkey41120@direct.childrenscolorado.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1457913592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 WADSWORTH BLVD UNIT 100",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802261516",
            "telephone_number": "303-239-8327",
            "fax_number": "303-239-9946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 WADSWORTH BLVD UNIT 100",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802261516",
            "telephone_number": "303-239-8327",
            "fax_number": "303-239-9946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIERKEY",
        "first_name": "KATRINA",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-28",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CO",
            "license": "C-APN.0001568-C-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRINA",
            "last_name": "MIERKEY",
            "credential": "KATRINA SCHMITT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.