Active NPI
Kathleen Nevin Hall
- Primary Care Nurse Practitioner
- Grand Junction, CO
National Provider Identifier
1730739996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- APN.0991813-NP
- Practice address
- 2472 Patterson Rd Unit 5
Grand Junction, CO 81505-1100 - Phone
- (970) 628-0068
- Fax
- (970) 628-0068
- NPI assigned
- Sep 18, 2019
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Registered Nurse | 163WG0600X | RN.1631576 | CO | |
| Adult Health Nurse Practitioner | 363LA2200X | APN.0991813-NP | CO | |
| Gerontology Nurse Practitioner | 363LG0600X | APN.0991813-NP | CO | |
| Primary Care Nurse Practitioner | 363LP2300X | APN.0991813-NP | CO | Primary |
Addresses
Primary practice location
2472 Patterson Rd Unit 5
Grand Junction, CO 81505-1100
Mailing address
2472 Patterson Rd Unit 5
Grand Junction, CO 81505-1100
Phone (970) 628-0068
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 |
|---|---|---|---|
| RN.1631576 | CO | MD | Gerontology Registered Nurse |
| APN.0991813-NP | CO | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568764800000",
"number": "1730739996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2472 PATTERSON RD UNIT 5",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815051100",
"telephone_number": "970-628-0068",
"fax_number": "970-628-0068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2472 PATTERSON RD UNIT 5",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815051100",
"telephone_number": "970-628-0068",
"fax_number": "970-628-0068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "KATHLEEN",
"middle_name": "NEVIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-18",
"last_updated": "2019-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Gerontology",
"state": "CO",
"license": "RN.1631576",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CO",
"license": "APN.0991813-NP",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "CO",
"license": "APN.0991813-NP",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "CO",
"license": "APN.0991813-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.