Kathryn Moulton, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Leadville, CO
NPI 1477064459 · NPPES record last updated Feb 13, 2019
Key facts
- NPI
- 1477064459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APN.0993347-NP (CO)
- Practice address
- 735 US Highway 24
Leadville, CO 80461 - Phone
- (719) 486-0500
- NPI assigned
- Oct 18, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Colorado Mountain Medical, LLC
Practice addresses (Care Compare)
50 Buck Creek Rd
Suite 200
Avon, CO 81620-5428
Phone (970) 926-6350
Hospital & facility affiliations
- Vail Health Hospital
- St Anthony Summit Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180730002716 | CO | Practitioner - Nurse Practitioner | 8123373230 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado Mountain Medical, LLC | Current |
Accepting new patients | |
| Colorado Mountain Medical, LLC | Current | Accepting new patients | |
| Colorado Mountain Medical, LLC | Current |
Accepting new patients | |
| Colorado Mountain Medical, PC | Past | Accepting new patients |
Locations
365 Dillon Ridge Rd
Ste 1200
Dillon, CO 80435
Phone (970) 479-7272
377 Sylvan Lake Rd
Ste 120
Eagle, CO 81631
Phone (970) 926-1800
377 Sylvan Lake Rd
Ste 210
Eagle, CO 81631
Phone (970) 328-1650
180 S Frontage Rd W
Ste 5800
Vail, CO 81657
181 W Meadow Dr
Vail, CO 81657
Phone (970) 476-1225
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN.0993347-NP | CO | Yes |
Addresses
Primary practice location
735 US Highway 24
Leadville, CO 80461
Mailing address
735 US Highway 24
Leadville, CO 80461-3978
Phone (719) 486-0500
Other practice location 1
316 Belford Street
Frisco, CO 80443-8044
Phone (970) 485-5461
Other names
- Kathryn Allie Vaughan Moulton
Other providers in Leadville, CO
- Julie M Lewis
- Jessica Dawn Loveless
- Cynthia Kuehnle Macisaac
- Barbara Lynn Marcum
- Christopher Dean Mele
- Mountain Rose Chiropractic LLC
- Susanne Bridgette Neal
- Camille Ness
- Colleen Nielsen
- Tyler J Norton
All providers in Leadville, CO · Family Nurse Practitioner in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.