Active NPI
Kaiser Permanente
- Licensed Practical Nurse
- Denver, CO
National Provider Identifier
1649436593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 32620
- Legal business name
- KAISER PERMANENTE
- Practice address
- 10065 E Harvard Ave Ste 400
Denver, CO 80231-5943 - Phone
- (303) 614-1493
- NPI assigned
- Jul 31, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Mia Sheen Simon, LPN
- Title
- Licensed Practical Nurse
- Phone
- (303) 748-9034
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 32620 | CO | Primary |
Addresses
Primary practice location
10065 E Harvard Ave Ste 400
Denver, CO 80231-5943
Mailing address
10816 Bayfield Way
Parker, CO 80138-3808
Phone (303) 748-9034
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217462400000",
"number": "1649436593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10816 BAYFIELD WAY",
"city": "PARKER",
"state": "CO",
"postal_code": "801383808",
"telephone_number": "303-748-9034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10065 E HARVARD AVE STE 400",
"city": "DENVER",
"state": "CO",
"postal_code": "802315943",
"telephone_number": "303-614-1493"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAISER PERMANENTE",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-31",
"last_updated": "2008-07-31",
"status": "A",
"authorized_official_last_name": "SIMON",
"authorized_official_first_name": "MIA",
"authorized_official_middle_name": "SHEEN",
"authorized_official_title_or_position": "LICENSED PRACTICAL NURSE",
"authorized_official_telephone_number": "303-748-9034",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LPN"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": "CO",
"license": "32620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.