Active NPI
Kirsty J O'Donovan, MD
- Psychiatry Physician
- Lone Tree, CO
National Provider Identifier
1568599520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 33101
- Practice address
- 9075 Forsstrom Dr
Lonetree, CO 80124-6737 - Phone
- (303) 470-1995
- NPI assigned
- Feb 27, 2007
- Last updated
- Jan 25, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 33101 | CO | Primary |
Addresses
Primary practice location
9075 Forsstrom Dr
Lonetree, CO 80124-6737
Mailing address
9075 Forsstrom Drive
Lone Tree, CO 80124
Phone (303) 470-1995
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 94228230 | Medicaid | CO |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33101 | CO | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327449600000",
"number": "1568599520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9075 FORSSTROM DRIVE",
"city": "LONE TREE",
"state": "CO",
"postal_code": "80124",
"telephone_number": "303-470-1995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9075 FORSSTROM DR",
"city": "LONETREE",
"state": "CO",
"postal_code": "801246737",
"telephone_number": "303-470-1995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'DONOVAN",
"first_name": "KIRSTY",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2012-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "33101",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "94228230",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lone Tree, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.