Individual provider Active NPI

Katherine J Maples-Andrade, APN

  • Family Nurse Practitioner
  • Aurora, CO
National Provider Identifier
1619565629
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0995697 Issued in CO
Practice address
275 S Aspen St
Aurora, CO 80011-9562
Phone
(303) 907-6314
Fax
(866) 230-7946
NPI assigned
Jan 5, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0995697 CO
Family Nurse Practitioner 363LF0000X 0995697 CO Primary

Addresses

Primary practice location

275 S Aspen St
Aurora, CO 80011-9562

Mailing address

275 S Aspen St
Aurora, CO 80011-9562
Phone (303) 907-6314

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
I20210809001658 CO Practitioner - Nurse Practitioner 0840694105 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0995697COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Primary Care Clinic Inc Nurse Practitioner CurrentSince Apr 27, 2021 Accepting new patients
Scala Medical PC PastSince Jan 1, 2021 Accepting new patients

Locations

14991 E Hampden Ave
Ste 110
Aurora, CO 80014
Phone (303) 343-9500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EAHBBD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1619565629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 S ASPEN ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800119562",
            "telephone_number": "303-907-6314",
            "fax_number": "866-230-7946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 S ASPEN ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800119562",
            "telephone_number": "303-907-6314",
            "fax_number": "866-230-7946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAPLES-ANDRADE",
        "first_name": "KATHERINE",
        "middle_name": "J",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-05",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "0995697",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0995697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.