Individual provider Active NPI

Kirsten Jeanne Lara, RN, L.AC.

  • Registered Nurse
  • Castle Rock, CO
National Provider Identifier
1508064635
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN.1625522 Issued in CO
Practice address
4523 E Bennington Ave
Castle Rock, CO 80104-8771
Phone
(303) 325-6692
NPI assigned
Jul 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.1625522 CO Primary
Acupuncturist 171100000X 1240 CO

Addresses

Primary practice location

4523 E Bennington Ave
Castle Rock, CO 80104-8771

Mailing address

4523 E Bennington Ave
Castle Rock, CO 80104-8771

Other names 1

  • Kirsten Jeanne Kaylor Former name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN.1625522COMDRegistered Nurse
1240COMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1508064635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4523 E BENNINGTON AVE",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801048771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4523 E BENNINGTON AVE",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801048771",
            "telephone_number": "303-325-6692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARA",
        "first_name": "KIRSTEN",
        "middle_name": "JEANNE",
        "credential": "RN, L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.1625522",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "1240",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRSTEN",
            "last_name": "KAYLOR",
            "middle_name": "JEANNE",
            "credential": "L.AC.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.