Active NPI
Katrina Marta Klaren, PA - C
- Physician Assistant
- Louisville, CO
National Provider Identifier
1790998755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2302
- Practice address
- 2255 S 88TH St
Louisville, CO 80027-9716 - Phone
- (303) 666-2095
- Fax
- (303) 666-1801
- NPI assigned
- May 7, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2302 | CO | Primary |
Addresses
Primary practice location
2255 S 88TH St
Louisville, CO 80027-9716
Mailing address
1046 Sagebrush Way
Louisville, CO 80027-1641
Phone (303) 666-6099
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2302 | CO | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790998755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1046 SAGEBRUSH WAY",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800271641",
"telephone_number": "303-666-6099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2255 S 88TH ST",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800279716",
"telephone_number": "303-666-2095",
"fax_number": "303-666-1801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLAREN",
"first_name": "KATRINA",
"middle_name": "MARTA",
"name_prefix": "Ms.",
"credential": "PA - C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "2302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.