Individual provider Active NPI

Kresha Annette Archuleta

  • Family Nurse Practitioner
  • Littleton, CO
National Provider Identifier
1659076594
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0998405-NP Issued in CO
Practice address
7735 W Long Dr Unit 12
Littleton, CO 80123-1262
Phone
(303) 904-0331
NPI assigned
Mar 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0998405-NP CO Primary

Addresses

Primary practice location

7735 W Long Dr Unit 12
Littleton, CO 80123-1262

Mailing address

7735 W Long Dr
Littleton, CO 80123-1266
Phone (303) 904-0331

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
I20230711002885 CO Practitioner - Nurse Practitioner 4587023320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ultimate Health Medical Clinic IncGroup PAC ID 5890073894, 5 clinicians

Practice addresses (Care Compare)

7735 W Long Dr
Unit 12
Littleton, CO 80123-1262
Phone (303) 904-0331

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0998405-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ultimate Health Medical Clinic Inc CurrentSince May 16, 2023 Accepting new patients
Ultimate Health Medical Center Inc PastSince Apr 6, 2023 Accepting new patients

Locations

7735 W Long Dr
Unit 12
Littleton, CO 80123
Phone (303) 904-0331

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": "1680220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1659076594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7735 W LONG DR",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801231266",
            "telephone_number": "303-904-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7735 W LONG DR UNIT 12",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801231262",
            "telephone_number": "303-904-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHULETA",
        "first_name": "KRESHA",
        "middle_name": "ANNETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-31",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0998405-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.