Individual provider Active NPI

Kimberly Casiano, FNP-C

  • Family Nurse Practitioner
  • Littleton, CO
National Provider Identifier
1457996977
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0994620-NP Issued in CO
Practice address
7735 W Long Dr Unit 12
Littleton, CO 80123-1262
Phone
(303) 904-0331
NPI assigned
Nov 7, 2019
Last updated
Nov 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0994620-NP CO Primary

Addresses

Primary practice location

7735 W Long Dr Unit 12
Littleton, CO 80123-1262

Mailing address

7735 W Long Dr Unit 12
Littleton, CO 80123-1262
Phone (303) 904-0331

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210322000896 CO Practitioner - Nurse Practitioner 1557778495 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.0994620-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Marriott Medical Corp CurrentSince Apr 21, 2023 Accepting new patients
Ultimate Health Medical Clinic Inc CurrentSince Sep 28, 2020 Accepting new patients
Ultimate Health Medical Center Inc PastSince Nov 10, 2019 Accepting new patients

Locations

222 N Pacific Coast Hwy
Ste 1420
El Segundo, CA 90245

104 Lois Ln
Colorado Springs, CO 80904
Phone (303) 289-1848

1340 E Fillmore St
Colorado Springs, CO 80907
Phone (719) 473-1105

7735 W Long Dr
Unit 12
Littleton, CO 80123
Phone (303) 904-0331

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.

NPI Registry JSON

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1457996977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7735 W LONG DR UNIT 12",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801231262",
            "telephone_number": "303-904-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7735 W LONG DR UNIT 12",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801231262",
            "telephone_number": "303-904-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASIANO",
        "first_name": "KIMBERLY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-07",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0994620-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.