Kimberly Marie Picchietti, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA-2276 Issued in CO

Practice address

4567 E 9TH Ave
Pavilion II
Denver, CO 80220-3908

Phone

(303) 320-7200

Fax

(303) 320-2145

NPI assigned

Sep 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kimberly Houkal Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Healthone Clinic Services Orthopedic Specialists LLC

  • Orthopaedic Surgery Physician
  • Westminster, CO
  • NPI 1245556091
  Medicare reassignment

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1467554659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4567 E 9TH AVE",
            "address_2": "PAVILION II",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203908",
            "telephone_number": "303-320-7200",
            "fax_number": "303-320-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4567 E 9TH AVE",
            "address_2": "PAVILION II",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203908",
            "telephone_number": "303-320-7200",
            "fax_number": "303-320-2145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICCHIETTI",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "PA-2276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13703064",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "HOUKAL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Physiotherapy Associates, Inc.
• Kalen Caren Piantino, PHYSICIAN ASSISTANT
• Mattias Piatt
• Elizabeth Piazza-Bonin
• Margaret Elizabeth Picard, PSYD
• John Piccone, LSW
• Nicolette Angelica Picerno, M.D.
• Neysiauris Yagelis Pichardo, LPC
• Andrew Pichurko
• Cherity Pick, MA, LPCC

• Surgical Physician Assistant in Denver, CO
• Providers in Denver, CO by specialty
• Surgical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.

Verify at the official NPI Registry.