Individual provider Active NPI

Kathryn Moulton, NP-C

  • Nurse Practitioner
  • Avon, CO
National Provider Identifier
1477064459
Registry record updated Oct 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN.0993347-NP Issued in CO
Practice address
50 Buck Creek Rd Ste 200
Avon, CO 81620-5428
Phone
(970) 926-6340
Fax
(970) 926-6348
NPI assigned
Oct 18, 2017
Last updated
Oct 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN.0993347-NP CO Primary

Addresses

Primary practice location

50 Buck Creek Rd Ste 200
Avon, CO 81620-5428

Mailing address

PO Box 4330
Avon, CO 81620-4330
Phone (970) 926-6340

Other practice location 1

316 Belford Street
Frisco, CO 80443-8044
Phone (970) 485-5461

Other practice location 2

50 Buck Creek Rd Ste 100
Avon, CO 81620-5428
Phone (970) 926-6340

Other practice location 3

377 Sylvan Lake Rd Ste 210
Eagle, CO 81631-6779
Phone (970) 926-6340

Other practice location 4

180 S Frontage Rd W Ste 5800
Vail, CO 81657-5038
Phone (970) 926-6340

Other practice location 5

365 Dillon Ridge Rd Ste 1200
Dillon, CO 80435-6344
Phone (970) 926-6340

Other practice location 6

735 US Highway 24
Leadville, CO 80461
Phone (719) 486-0500

Other names 1

  • Kathryn Allie Vaughan Moulton Other name

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
I20180730002716 CO Practitioner - Nurse Practitioner 8123373230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Mountain Medical, LLCGroup PAC ID 5496087181, 63 clinicians

Practice addresses (Care Compare)

50 Buck Creek Rd
Suite 200
Avon, CO 81620-5428
Phone (970) 926-6350

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Mountain Medical, LLC CurrentSince Oct 12, 2020 Accepting new patients
Colorado Mountain Medical, LLC CurrentSince Oct 12, 2020 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) 479-5157

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792627200000",
    "number": "1477064459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4330",
            "city": "AVON",
            "state": "CO",
            "postal_code": "816204330",
            "telephone_number": "970-926-6340",
            "fax_number": "970-926-6348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BUCK CREEK RD STE 200",
            "city": "AVON",
            "state": "CO",
            "postal_code": "816205428",
            "telephone_number": "970-926-6340",
            "fax_number": "970-926-6348"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "316 Belford Street",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "CO",
            "postal_code": "804438044",
            "country_code": "US",
            "telephone_number": "970-485-5461",
            "fax_number": "970-485-5461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Buck Creek Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "CO",
            "postal_code": "816205428",
            "country_code": "US",
            "telephone_number": "970-926-6340",
            "fax_number": "970-926-6348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "377 Sylvan Lake Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Eagle",
            "state": "CO",
            "postal_code": "816316779",
            "country_code": "US",
            "telephone_number": "970-926-6340",
            "fax_number": "970-926-6348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 S Frontage Rd W Ste 5800",
            "address_purpose": "LOCATION",
            "city": "Vail",
            "state": "CO",
            "postal_code": "816575038",
            "country_code": "US",
            "telephone_number": "970-926-6340",
            "fax_number": "970-926-6348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "365 Dillon Ridge Rd Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Dillon",
            "state": "CO",
            "postal_code": "804356344",
            "country_code": "US",
            "telephone_number": "970-926-6340",
            "fax_number": "970-926-6348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "735 US Highway 24",
            "address_purpose": "LOCATION",
            "city": "Leadville",
            "state": "CO",
            "postal_code": "80461",
            "country_code": "US",
            "telephone_number": "719-486-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOULTON",
        "first_name": "KATHRYN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-18",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0993347-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "MOULTON",
            "middle_name": "ALLIE VAUGHAN",
            "credential": "NP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Avon, CO

Sources for this page

Verify at the official NPI Registry.