Individual provider Active NPI

Kim Aline Kramer, APRN,BC (FNP)

  • Nurse Practitioner
  • Lakewood, CO
National Provider Identifier
1629125133
Registry record updated Aug 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN.0002618-NP Issued in CO
Practice address
12055 W 2ND PL
Lakewood, CO 80228-1506
Phone
(303) 789-7072
Fax
(303) 789-7074
NPI assigned
Jan 5, 2007
Last updated
Aug 9, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN.0002618-NP CO Primary
Nurse Practitioner 363L00000X RXN.0005009-NP CO
Registered Nurse 163W00000X RN.0117131 CO

Addresses

Primary practice location

12055 W 2ND PL
Lakewood, CO 80228-1506

Mailing address

3701 S Broadway
Englewood, CO 80113-3611
Phone (303) 761-1977

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
I20230117001291 CO Practitioner - Nurse Practitioner 6406072909 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.0117131COMDRegistered Nurse
RXN.0005009-NPCOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Community Provider Network Inc CurrentSince Oct 6, 2022 Accepting new patients
Metro Community Provider Network, Inc. CurrentSince Oct 6, 2022 Accepting new patients
Metro Community Provider Network Inc Current Accepting new patients

Locations

2255 S Oneida St
Denver, CO 80224

3701 S Broadway
Englewood, CO 80113

12055 W 2nd Pl
Lakewood, CO 80228
Phone (303) 425-4480

17866 Cottonwood Dr
Parker, CO 80134
Phone (303) 205-6899

Organizations & group practices 3

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": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1629125133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 S BROADWAY",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133611",
            "telephone_number": "303-761-1977",
            "fax_number": "303-761-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12055 W 2ND PL",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281506",
            "telephone_number": "303-789-7072",
            "fax_number": "303-789-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "KIM",
        "middle_name": "ALINE",
        "name_prefix": "Mrs.",
        "credential": "APRN,BC (FNP)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0002618-NP",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "RXN.0005009-NP",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.0117131",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.