Individual provider Active NPI

Kathy Okamatsu, N.P.

  • Nurse Practitioner
  • Broomfield, CO
National Provider Identifier
1487619367
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
96725 Issued in CO
Practice address
500 Eldorado Blvd
Suite 6250
Broomfield, CO 80021-3408
Phone
(303) 272-0750
Fax
(303) 318-2488
NPI assigned
Apr 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2014

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 96725 CO Primary

Addresses

Primary practice location

500 Eldorado Blvd
Suite 6250
Broomfield, CO 80021-3408

Mailing address

500 Eldorado Blvd
Suite 6250
Broomfield, CO 80021-3408
Phone (303) 272-0750

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
I20140203000420 CO Practitioner - Nurse Practitioner 6305075870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

1730 Blake St
Suite 100
Denver, CO 80202-1274
Phone (303) 296-2273

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0003398COMDSpeech-Language Pathologist
96725COMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care PA CurrentSince Dec 23, 2013 Accepting new patients
American Current Care P.a. CurrentSince Dec 23, 2013 Accepting new patients
Jefferson Center for Mental Health Past Accepting new patients

Locations

1730 Blake St
Ste 100
Denver, CO 80202
Phone (303) 296-2273

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400025600000",
    "number": "1487619367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ELDORADO BLVD",
            "address_2": "SUITE 6250",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800213408",
            "telephone_number": "303-272-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ELDORADO BLVD",
            "address_2": "SUITE 6250",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800213408",
            "telephone_number": "303-272-0750",
            "fax_number": "303-318-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKAMATSU",
        "first_name": "KATHY",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2014-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "96725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

Verify at the official NPI Registry.