Individual provider Active NPI

Katarina Smolka

  • Family Nurse Practitioner
  • Denver, CO
National Provider Identifier
1558080895
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0997742-NP Issued in CO
Practice address
3333 Regis Blvd # F-12
Denver, CO 80221-8926
Phone
(303) 458-3558
Fax
(303) 964-5406
NPI assigned
Aug 22, 2022
Last updated
Sep 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0997742-NP CO Primary

Addresses

Primary practice location

3333 Regis Blvd # F-12
Denver, CO 80221-8926

Mailing address

2025 Nelson St
Lakewood, CO 80215-1331

Other practice location 1

327 Park Ave
Fort Lupton, CO 80621-1929
Phone (303) 857-2711

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN.0997742-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Martin McDermott MD PC CurrentSince Aug 1, 2022 Accepting new patients

Locations

327 Park Ave
Fort Lupton, CO 80621
Phone (303) 857-2711

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1558080895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 NELSON ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802151331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 REGIS BLVD # F-12",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802218926",
            "telephone_number": "303-458-3558",
            "fax_number": "303-964-5406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "327 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Lupton",
            "state": "CO",
            "postal_code": "806211929",
            "country_code": "US",
            "telephone_number": "303-857-2711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMOLKA",
        "first_name": "KATARINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0997742-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.