Individual provider Active NPI

Sandi Kimmel, RDMS, RVT

  • Diagnostic Ultrasound Physician
  • Parker, CO
National Provider Identifier
1710708136
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
License
92633 Issued in CO
Practice address
19751 E Mainstreet Ste R10
Parker, CO 80138-7406
Phone
(720) 741-7255
Fax
(720) 986-7998
NPI assigned
Oct 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound Physician 2085U0001X 92633 CO Primary

Addresses

Primary practice location

19751 E Mainstreet Ste R10
Parker, CO 80138-7406

Mailing address

11212 Endeavor Dr
Parker, CO 80134-3830
Phone (720) 741-7255

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
92633COMDDiagnostic Ultrasound Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imaging Zen LLC Diagnostic Ultrasound CurrentSince Oct 20, 2024 Accepting new patients

Locations

19751 E Mainstreet
Ste R10
Parker, CO 80138
Phone (719) 216-3866

Organizations & group practices 1

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": "1729209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1710708136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11212 ENDEAVOR DR",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801343830",
            "telephone_number": "720-741-7255",
            "fax_number": "720-986-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19751 E MAINSTREET STE R10",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801387406",
            "telephone_number": "720-741-7255",
            "fax_number": "720-986-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMMEL",
        "first_name": "SANDI",
        "credential": "RDMS, RVT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "CO",
            "license": "92633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.