Kathryn A Lein, PNP
Individual provider Active NPI Pediatric Nurse Practitioner · Timnath, CO
NPI 1487743332 · NPPES record last updated Aug 29, 2022
Key facts
- NPI
- 1487743332
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- C-APN.0004362-C-NP (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- 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 |
|---|---|---|---|
| Medcenter One Health Systems DME | Current | Accepting new patients | |
| Sanford Bismarck | Current | Accepting new patients | |
| Sanford Bismarck | Current |
Accepting new patients | |
| Pediatric Urgent Care of Northern Colorado | Past |
Accepting new patients | |
| Community Medical Group | Past | Accepting new patients | |
| Community Medical Group, LLC | Past | Accepting new patients | |
| Fort Collins Youth Clinic | Past |
Accepting new patients | |
| Community Medical Group, LLC | Past | Accepting new patients |
Locations
3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300
222 N 7th St
Bismarck, ND 58501
Phone (701) 323-5422
Specialties & licenses
| 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 | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84294 | Medicaid | ND | |
| 005739 | Medicaid | OR |
Other providers in Timnath, CO
- Julianne Curtis, LLC Dba Noco Doula Collective
- Robert T Kelley
- Julia Kennedy
- John Andrew Kenney
- Nathaniel R. Lamkin
- Katje Marie Lerew Musgrave
- Lymphedema Care of the Rockies, LLC
- Mag Smiles LLC
- Kathleen Maier
- Morgan Marie Merfeld
All providers in Timnath, CO · Pediatric Nurse Practitioner in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.