Individual provider Active NPI

Kristin Nicholas Vaver, PH.D.

  • Rehabilitation Psychologist
  • Louisville, CO
National Provider Identifier
1598355133
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PsychologistTaxonomy code 103TR0400X
License
2473 Issued in CO
Practice address
1068 S 88TH St Ste a
Louisville, CO 80027-9459
Phone
(720) 373-6893
NPI assigned
Jan 18, 2021
Last updated
Jan 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Psychologist 103TR0400X 2473 CO Primary

Addresses

Primary practice location

1068 S 88TH St Ste a
Louisville, CO 80027-9459

Mailing address

1769 Poppy CT
Lafayette, CO 80026-9388
Phone (303) 665-5153

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2473COMDLow Vision Rehabilitation Optometrist

NPI Registry JSON

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1598355133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1769 POPPY CT",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800269388",
            "telephone_number": "303-665-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 S 88TH ST STE A",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279459",
            "telephone_number": "720-373-6893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAVER",
        "first_name": "KRISTIN",
        "middle_name": "NICHOLAS",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "CO",
            "license": "2473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.