Individual provider Active NPI

Kristen Linnea Kammerer, DO

  • Pediatrics Physician
  • Dacono, CO
National Provider Identifier
1689820599
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
DR.0072983 Issued in CO
Practice address
4943 State Highway 52
Dacono, CO 80514-9100
Phone
(303) 501-2600
Fax
(877) 764-4622
NPI assigned
Aug 12, 2008
Last updated
Nov 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Q6213 TX
Pediatrics Physician 208000000X DR.0072983 CO Primary

Addresses

Primary practice location

4943 State Highway 52
Dacono, CO 80514-9100

Mailing address

4943 State Highway 52
Dacono, CO 80514-9100
Phone (303) 501-2600

Other practice location 1

205 S Main St Ste A
Longmont, CO 80501-1714
Phone (303) 501-2600

Other names 1

  • Dr. Kristen Linnea Bickle Former name

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
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DR.0072983COMDPediatrics Physician
Q6213TXMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1689820599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4943 STATE HIGHWAY 52",
            "city": "DACONO",
            "state": "CO",
            "postal_code": "805149100",
            "telephone_number": "303-501-2600",
            "fax_number": "877-764-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4943 STATE HIGHWAY 52",
            "city": "DACONO",
            "state": "CO",
            "postal_code": "805149100",
            "telephone_number": "303-501-2600",
            "fax_number": "877-764-4622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 S Main St Ste A",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805011714",
            "country_code": "US",
            "telephone_number": "303-501-2600",
            "fax_number": "877-764-4622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAMMERER",
        "first_name": "KRISTEN",
        "middle_name": "LINNEA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-12",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "Q6213",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "DR.0072983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "BICKLE",
            "middle_name": "LINNEA",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dacono, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.