Kerry Faye Patterson, RN. NP

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

124096 Issued in CO

Practice address

1333 Iris Ave
Mental Health Center of Boulder Cnty
Boulder, CO 80304-2226

Phone

(303) 443-8500

NPI assigned

Apr 25, 2007

Last updated

Jul 8, 2007By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2022 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710106760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 15TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803042237",
            "telephone_number": "303-402-9142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 IRIS AVE",
            "address_2": "MENTAL HEALTH CENTER OF BOULDER CNTY",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803042226",
            "telephone_number": "303-443-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "KERRY",
        "middle_name": "FAYE",
        "name_prefix": "Mrs.",
        "credential": "RN. NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CO",
            "license": "124096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liza Dylan Patrick, CNM
• Shannon Patrick
• Marisa Elizabeth Patt, DMD
• Alicia Patterson
• David C. Patterson, PH. D.
• Kimberly M Patterson, MD
• Roy Patterson, MA, BCBA
• Patti Wade, Ms, CCC-SLP
• Paul E Finegan PC (Finegan Chiropractic Health Center)
• Jessica Paul, MS, LPCC

• Psychiatric/Mental Health Registered Nurse in Boulder, CO
• Providers in Boulder, CO by specialty
• Psychiatric/Mental Health Registered Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.