Kristina A Anton-Schnell, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

DR.0044880 Issued in CO

Practice address

7490 Clubhouse Rd # 105
Boulder, CO 80301-3720

Phone

(720) 582-1212

Fax

(720) 405-4268

NPI assigned

Jul 27, 2006

Last updated

Mar 10, 2023By the provider in NPPES

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 names 1

• Kristina A Antonsson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2023 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Ingredients for Life LLC

  • Internal Medicine Physician
  • Boulder, CO
  • NPI 1619683000
  NPD Authorized official
• Boulder Community Health

  dba Community Medical Associates of BCH

  • Medical Specialty Clinic/Center
  • Boulder, CO
  • NPI 1407685498
  NPD (past)
• Longmont Hospitalist Group, LLC

  • Hospitalist Physician
  • Longmont, CO
  • NPI 1689841868
  NPD (past)
• Longmont Pulmonary and Critical Care Associates, PC

  • Pulmonary Disease Physician
  • Longmont, CO
  • NPI 1215028543
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1477577153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4745 JAMESTON ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803014222",
            "telephone_number": "720-582-1212",
            "fax_number": "720-405-4268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7490 CLUBHOUSE RD # 105",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013720",
            "telephone_number": "720-582-1212",
            "fax_number": "720-405-4268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTON-SCHNELL",
        "first_name": "KRISTINA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0044880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "ANTONSSON",
            "middle_name": "A",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrew Gordon Antell, MD
• Antelope Recovery LLC
• Antelope Recovery LLC
• Anthony Riske Counseling LLC
• Heather Lee Anthony, M.A.
• Alexander Antonucci
• Stepheny Antrobus, LPCC
• Anxiety and Ocd Unstuck
• Apex ABA Therapy Co LLC
• Apex Neuromonitoring, LLC

• Internal Medicine Physician in Boulder, CO
• Providers in Boulder, CO by specialty
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.