Individual provider Active NPI

Kristalaine Galatas, P.A.

  • Medical Physician Assistant
  • Englewood, CO
National Provider Identifier
1487713541
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2306 Issued in CO
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

Updated by the provider on Jul 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
36403865MedicaidCO
020835OtherCOKAISER 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

LicenseStateTypeSpecialty
2306COMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Care of Colorado, PC PastSince Sep 1, 2010 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.

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.

Verify at the official NPI Registry.