Individual provider Active NPI

Kelsey Elizabeth Smithart, DO, MPH

  • Occupational Medicine Physician
  • Castle Rock, CO
National Provider Identifier
1780243519
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
DR.0066928 Issued in CO
Practice address
4404 Barranca LN Unit 101
Castle Rock, CO 80104-7432
Phone
(720) 733-5290
Fax
(720) 733-5291
NPI assigned
Jun 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TL.0008429 CO
Occupational Medicine Physician 2083X0100X DR.0066928 CO Primary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X DR.0066928 CO

Addresses

Primary practice location

4404 Barranca LN Unit 101
Castle Rock, CO 80104-7432

Mailing address

4404 Barranca LN Unit 101
Castle Rock, CO 80104-7432
Phone (720) 733-5290

Other practice location 1

13001 E 17th Pl
Aurora, CO 80045-2570
Phone (303) 724-9755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220609000691 CO Practitioner - Preventive Medicine 3072841006 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DR.0066928COMDOccupational Medicine Physician
TL.0008429COMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Health and Hospital Authority CurrentSince Jun 1, 2022 Accepting new patients
Denver Health and Hospital Authority CurrentSince Jun 1, 2022 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Aug 29, 2022 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Aug 29, 2022 Accepting new patients

Locations

4404 Barranca Ln
Unit 101
Castle Rock, CO 80104
Phone (720) 733-5260

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

4404 Barranca Ln
Ste 101
Castle Rock, CO 80104
Phone (720) 733-5260

2999 New Center Pt
Colorado Springs, CO 80922
Phone (719) 364-6940

4660 Yosemite St
Ste 100
Denver, CO 80238
Phone (720) 516-8900

777 Bannock St
Denver, CO 80204

9475 S University Blvd
Highlands Ranch, CO 80126
Phone (303) 470-4061

8155 Piney River Ave
Ste 100
Littleton, CO 80125
Phone (303) 265-3370

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

Organizations & group practices 4

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": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1780243519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4404 BARRANCA LN UNIT 101",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801047432",
            "telephone_number": "720-733-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4404 BARRANCA LN UNIT 101",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801047432",
            "telephone_number": "720-733-5290",
            "fax_number": "720-733-5291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13001 E 17th Pl",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800452570",
            "country_code": "US",
            "telephone_number": "303-724-9755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITHART",
        "first_name": "KELSEY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DO, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CO",
            "license": "TL.0008429",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CO",
            "license": "DR.0066928",
            "primary": true
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "CO",
            "license": "DR.0066928",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

Verify at the official NPI Registry.