Individual provider Active NPI

Kathryn A Lein, PNP

  • Pediatric Nurse Practitioner
  • Timnath, CO
National Provider Identifier
1487743332
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
C-APN.0004362-C-NP Issued in CO
Practice address
4845 Weitzel St Ste 101
Timnath, CO 80547-4800
Phone
(970) 267-9510
Fax
(970) 207-9967
NPI assigned
Oct 11, 2006
Last updated
Aug 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 200550172NP OR
Pediatric Nurse Practitioner 363LP0200X R39460 ND
Pediatric Nurse Practitioner 363LP0200X C-APN.0004362-C-NP CO Primary

Addresses

Primary practice location

4845 Weitzel St Ste 101
Timnath, CO 80547-4800

Mailing address

PO Box 7328
Loveland, CO 80537-0328
Phone (970) 663-2742

Other identifiers 2

IdentifierTypeStateIssuer
005739MedicaidOR
84294MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C-APN.0004362-C-NPCOMDPediatric Nurse Practitioner
200550172NPORMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Bismarck Current Accepting new patients
Medcenter One Health Systems DME Current Accepting new patients
Sanford Bismarck CurrentSince Jan 19, 2014 Accepting new patients
Community Medical Group, LLC Past Accepting new patients
Pediatric Urgent Care of Northern Colorado PastSince Aug 28, 2022 Accepting new patients
Fort Collins Youth Clinic PastSince Aug 28, 2022 Accepting new patients
Community Medical Group, LLC Past Accepting new patients

Locations

222 N 7th St
Bismarck, ND 58501
Phone (701) 323-5422

3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1487743332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7328",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805370328",
            "telephone_number": "970-663-2742",
            "fax_number": "970-667-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4845 WEITZEL ST STE 101",
            "city": "TIMNATH",
            "state": "CO",
            "postal_code": "805474800",
            "telephone_number": "970-267-9510",
            "fax_number": "970-207-9967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIN",
        "first_name": "KATHRYN",
        "middle_name": "A",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OR",
            "license": "200550172NP",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "ND",
            "license": "R39460",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CO",
            "license": "C-APN.0004362-C-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005739",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84294",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Timnath, CO

Sources for this page

Verify at the official NPI Registry.