Active NPI
Sandi Kimmel, RDMS, RVT
- Diagnostic Ultrasound Physician
- Parker, CO
National Provider Identifier
1710708136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Ultrasound Physician
- License
- 92633
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 92633 | CO | MD | Diagnostic Ultrasound Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imaging Zen LLC | Diagnostic Ultrasound | Current | 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.
-
- Diagnostic Ultrasound Physician
- Parker, CO
- NPI 1043031461
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.