Kimberley Jean Paden-Harris, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN.0994800-NP Issued in CO

Practice address

595 Russell St
Craig, CO 81625-1920

Phone

(970) 824-1020

Fax

(970) 824-5300

NPI assigned

Mar 28, 2012

Last updated

Dec 27, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Yampa Valley Medical CenterGroup PAC ID 5890685689, 128 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uchealth Yampa Valley Medical Center Hospital, Steamboat Springs, CO, CCN 060049
• Memorial Hospital, the Hospital, Craig, CO, CCN 061314

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Yampa Valley Medical Center

  • General Acute Care Hospital
  • Steamboat Springs, CO
  • NPI 1790787307
  Medicare reassignment Care Compare group NPD
• Yampa Valley Medical Center

  dba UCHealth Yampa Valley Medical Center

  • Multi-Specialty Clinic/Center
  • Steamboat Springs, CO
  • NPI 1295177426
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Memorial Hospital

  dba Memorial Regional Health

  • Critical Access Hospital
  • Craig, CO
  • NPI 1063418424
  Care Compare affiliation
• The Memorial Hospital

  dba Memorial Regional Health

  • Land Ambulance
  • Craig, CO
  • NPI 1669288809

  Hospital

  Care Compare affiliation
• Yampa Valley Medical Center

  dba UCHealth Yampa Valley Medical Center

  • General Acute Care Hospital
  • Oak Creek, CO
  • NPI 1164081345
  Care Compare affiliation
• Yampa Valley Medical Center

  • General Acute Care Hospital
  • Hayden, CO
  • NPI 1295394203
  Care Compare affiliation
• Yampa Valley Medical Center

  • General Acute Care Hospital
  • Steamboat Springs, CO
  • NPI 1790787307
  Care Compare affiliation

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1639445257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 RUSSELL ST",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816251920",
            "telephone_number": "970-824-1020",
            "fax_number": "970-824-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 RUSSELL ST",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816251920",
            "telephone_number": "970-824-1020",
            "fax_number": "970-824-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADEN-HARRIS",
        "first_name": "KIMBERLEY",
        "middle_name": "JEAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-28",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "752990",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0994800-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Nyquist, PA-C
• Obstetrix Medical Group of Colorado, P.C. (Rocky Mountain Pediatric Cardiology)
• One Another Counseling, LLC
• Jon Ossen, D.O.
• Jeffrey Thomas Owsley, DO
• Pearson Physiotherapy
• Pearson Physiotherapy Specialists, LLC
• John T Pearson Jr., PT
• Karla Persichitte, LPC
• Chet Peterson, RN, CCM, CDCES

• Family Nurse Practitioner in Craig, CO
• Providers in Craig, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.