Individual provider Active NPI

Heather A Kirby, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Northglenn, CO
National Provider Identifier
1558112573
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0999904-NP Issued in CO
Practice address
10465 Melody Dr Ste 226
Northglenn, CO 80234-4120
Phone
(720) 331-6899
Fax
(855) 650-8805
NPI assigned
Mar 28, 2024
Last updated
Feb 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0999904-NP CO Primary
Registered Nurse 163W00000X 1617623 CO

Addresses

Primary practice location

10465 Melody Dr Ste 226
Northglenn, CO 80234-4120

Mailing address

10465 Melody Dr Ste 226
Northglenn, CO 80234-4120
Phone (720) 331-6899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240917003197 CO Practitioner - Nurse Practitioner 7517408677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alder Grove Health Services IncGroup PAC ID 0840553517, 9 clinicians

Practice addresses (Care Compare)

90 Madison St
Suite 302
Denver, CO 80206-5412
Phone (720) 331-6899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1617623COMDRegistered Nurse
APN.0999904-NPCOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alder Grove Health Services, Inc Psychiatric/Mental Health CurrentSince Sep 30, 2025 Accepting new patients

Locations

90 Madison St
Ste 302
Denver, CO 80206
Phone (720) 331-6899

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": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1558112573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10465 MELODY DR STE 226",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802344120",
            "telephone_number": "720-331-6899",
            "fax_number": "855-650-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10465 MELODY DR STE 226",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802344120",
            "telephone_number": "720-331-6899",
            "fax_number": "855-650-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "HEATHER",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-28",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0999904-NP",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "1617623",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northglenn, CO

Sources for this page

Verify at the official NPI Registry.