Active NPI
Kristalaine Galatas, P.A.
- Medical Physician Assistant
- Englewood, CO
National Provider Identifier
1487713541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 2306
- Practice address
- 799 E Hampden Ave Ste 300
Englewood, CO 80113-2762 - Phone
- (303) 788-6490
- Fax
- (303) 788-5451
- NPI assigned
- Dec 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 2306 | CO | Primary |
Addresses
Primary practice location
799 E Hampden Ave Ste 300
Englewood, CO 80113-2762
Mailing address
PO Box 60
Englewood, CO 80151-0060
Phone (303) 493-5200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36403865 | Medicaid | CO | |
| 020835 | Other | CO | KAISER COMMERCIAL NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2306 | CO | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Care of Colorado, PC | Past | Accepting new patients | |
| Midwest Urology Associates, P.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
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- Urology Physician
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- NPI 1790705622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562544000000",
"number": "1487713541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801510060",
"telephone_number": "303-493-5200",
"fax_number": "720-570-2012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "799 E HAMPDEN AVE STE 300",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801132762",
"telephone_number": "303-788-6490",
"fax_number": "303-788-5451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALATAS",
"first_name": "KRISTALAINE",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2019-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CO",
"license": "2306",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36403865",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER COMMERCIAL NUMBER",
"identifier": "020835",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.