NPIMap

Organization Active NPI

Kaiser Permanente

  • Clinic/Center
  • Denver, CO
National Provider Identifier
1538458229
Registry record updated Apr 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
127276 Issued in CO
Legal business name
KAISER PERMANENTE
Practice address
10065 E Harvard Ave
Ste 400
Denver, CO 80231-5968
Phone
(303) 614-1400
NPI assigned
Apr 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2011

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

Authorized official

Name
Mrs. Brenna Lee Ruckman, RN
Title
RN- Telephone Triage
Phone
(303) 464-9579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 127276 CO Primary

Addresses

Primary practice location

10065 E Harvard Ave
Ste 400
Denver, CO 80231-5968

Mailing address

14341 Craftsman Way
Broomfield, CO 80023-4040
Phone (303) 464-9579

National Provider Directory

National Provider Directory

Locations

10065 E Harvard Ave
Ste 400
Denver, CO 80231
Phone (303) 614-1492

NPI Registry JSON

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

{
    "created_epoch": "1301788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301788800000",
    "number": "1538458229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14341 CRAFTSMAN WAY",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800234040",
            "telephone_number": "303-464-9579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10065 E HARVARD AVE",
            "address_2": "STE 400",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802315968",
            "telephone_number": "303-614-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER PERMANENTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-03",
        "last_updated": "2011-04-03",
        "status": "A",
        "authorized_official_last_name": "RUCKMAN",
        "authorized_official_first_name": "BRENNA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "RN- TELEPHONE TRIAGE",
        "authorized_official_telephone_number": "303-464-9579",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CO",
            "license": "127276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2011; 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.