Active NPI
Kimberlee L Evertse
- Pediatrics Physician
- Littleton, CO
National Provider Identifier
1497885255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 169365
- Practice address
- 5257 S Wadsworth Blvd
Littleton, CO 80123-2228 - Phone
- (303) 743-5855
- NPI assigned
- Mar 7, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 169365 | CO | Primary |
Addresses
Primary practice location
5257 S Wadsworth Blvd
Littleton, CO 80123-2228
Mailing address
489 Rome Ave
Parker, CO 80138-4637
Phone (303) 805-1442
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016047 | Other | 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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 169365 | CO | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497885255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "489 ROME AVE",
"city": "PARKER",
"state": "CO",
"postal_code": "801384637",
"telephone_number": "303-805-1442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5257 S WADSWORTH BLVD",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801232228",
"telephone_number": "303-743-5855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVERTSE",
"first_name": "KIMBERLEE",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "169365",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER-COMMERCIAL NUMBER",
"identifier": "016047",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Littleton, CO
- Kaiji Evans
- Kathy Johnson Evans
- Luke T Evans, M.D.
- Willicha A Evans
- Everside Health, LLC (Marathon Health, Littleton CO)
- Jacoby Ewell
- Molly Ewen, PMHNP
- Exempla Southwest Imaging Center, LLC (Clearview Digital Radiology)
- Exos Physical Therapy and Sports Medicine, LLC
- Exos Physical Therapy and Sports Medicine, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.