Active NPI
Kathryn A Lein, PNP
- Pediatric Nurse Practitioner
- Timnath, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- C-APN.0004362-C-NP
- 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, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005739 | Medicaid | OR | |
| 84294 | Medicaid | ND |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-APN.0004362-C-NP | CO | MD | Pediatric Nurse Practitioner |
| 200550172NP | OR | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Bismarck | Current | Accepting new patients | |
| Medcenter One Health Systems DME | Current | Accepting new patients | |
| Sanford Bismarck | Current | Accepting new patients | |
| Community Medical Group, LLC | Past | Accepting new patients | |
| Pediatric Urgent Care of Northern Colorado | Past | Accepting new patients | |
| Fort Collins Youth Clinic | Past | 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.
-
- Durable Medical Equipment & Medical Supplies
- Bismarck, ND
- NPI 1629113253
-
dba Sanford Laboratory Bismarck
- Clinical Medical Laboratory
- Bismarck, ND
- NPI 1154485944
-
dba Internal Medicine Associates of the Grand Valley
- Internal Medicine Physician
- Grand Junction, CO
- NPI 1043640634
-
dba Grand Valley Pediatrics
- Pediatrics Physician
- Grand Junction, CO
- NPI 1730505702
-
- Pediatrics Physician
- Fort Collins, CO
- NPI 1336292622
-
- Pediatrics Physician
- Timnath, CO
- NPI 1093123481
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
- Julianne Curtis, LLC Dba Noco Doula Collective (Julianne Curtis, LLC)
- Robert T Kelley, D.O.
- Julia Kennedy, LCSW
- John Andrew Kenney, EMT-PARAMEDIC
- Nathaniel R. Lamkin, LCSW
- Katje Marie Lerew Musgrave, DO
- Lymphedema Care of the Rockies, LLC
- Mag Smiles LLC (Black Diamond Orthodontics)
- Kathleen Maier
- Morgan Marie Merfeld, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.