Active NPI
Kellie Limpede
- Specialist
- Denver, CO
National Provider Identifier
1760926737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0003456
- Practice address
- 1776 S Jackson St
#1022
Denver, CO 80210-3801 - Phone
- (303) 691-0098
- NPI assigned
- Dec 11, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 0003456 | CO | Primary |
Addresses
Primary practice location
1776 S Jackson St
#1022
Denver, CO 80210-3801
Mailing address
1815 S Welch Cir
Lakewood, CO 80228-3776
Phone (720) 519-8617
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 |
|---|---|---|---|
| 0003456 | CO | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481414400000",
"number": "1760926737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1815 S WELCH CIR",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802283776",
"telephone_number": "720-519-8617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1776 S JACKSON ST",
"address_2": "#1022",
"city": "DENVER",
"state": "CO",
"postal_code": "802103801",
"telephone_number": "303-691-0098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIMPEDE",
"first_name": "KELLIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-11",
"last_updated": "2016-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CO",
"license": "0003456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.