Active NPI
Kathryn A Cerkoney, FNP
- General Practice Registered Nurse
- Fort Collins, CO
National Provider Identifier
1669462248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- NP2394
- Practice address
- 4601 Corbett Dr
Fort Collins, CO 80528-9579 - Phone
- (970) 207-4802
- Fax
- (970) 207-4805
- NPI assigned
- Oct 25, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | NP2394 | CO | Primary |
Addresses
Primary practice location
4601 Corbett Dr
Fort Collins, CO 80528-9579
Mailing address
4601 Corbett Dr
Fort Collins, CO 80528-9579
Phone (970) 207-4802
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP2394 | CO | MD | General Practice Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adamson Medical Corporation PC | Past | Accepting new patients | |
| Big Thompson Medical Group Inc | Past | Accepting new patients |
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.
-
- Multi-Specialty Clinic/Center
- Johnstown, CO
- NPI 1356480982
-
- Family Medicine Physician
- Loveland, CO
- NPI 1720011786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292457600000",
"number": "1669462248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 CORBETT DR",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805289579",
"telephone_number": "970-207-4802",
"fax_number": "970-207-4805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 CORBETT DR",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805289579",
"telephone_number": "970-207-4802",
"fax_number": "970-207-4805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERKONEY",
"first_name": "KATHRYN",
"middle_name": "A",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-25",
"last_updated": "2010-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "CO",
"license": "NP2394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.