Kristina A Anton-Schnell, MD
Individual provider Active NPI Internal Medicine Physician · Boulder, CO
NPI 1477577153 · NPPES record last updated Mar 10, 2023
Key facts
- NPI
- 1477577153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- DR.0044880 (CO)
- Practice address
- 7490 Clubhouse Rd # 105
Boulder, CO 80301-3720 - Phone
- (720) 582-1212
- Fax
- (720) 405-4268
- NPI assigned
- Jul 27, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2023 through Jul 1, 2027
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0044880 | CO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ingredients for Life LLC | Internal Medicine | Current |
Accepting new patients |
| Boulder Community Health | Past | Accepting new patients | |
| Longmont Pulmonary and Critical Care Associates, PC | Past | Accepting new patients | |
| Longmont Hospitalist Group, LLC | Past | Accepting new patients |
Locations
7490 Clubhouse Rd
Ste 105
Boulder, CO 80301
Phone (720) 582-1212
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | DR.0044880 | CO | Yes |
Addresses
Primary practice location
7490 Clubhouse Rd # 105
Boulder, CO 80301-3720
Mailing address
4745 Jameston St
Boulder, CO 80301-4222
Phone (720) 582-1212
Other names
- Kristina A Antonsson
Other providers in Boulder, CO
- Andrew Gordon Antell
- Antelope Recovery LLC
- Antelope Recovery LLC
- Anthony Riske Counseling LLC
- Heather Lee Anthony
- Alexander Antonucci
- Stepheny Antrobus
- Anxiety and Ocd Unstuck
- Apex ABA Therapy Co LLC
- Apex Neuromonitoring, LLC
All providers in Boulder, CO · Internal Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2023. 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).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.