Individual provider Active NPI

Shari L Kiehnbaum, PA-C

  • Medical Physician Assistant
  • Aspen, CO
National Provider Identifier
1801102736
Registry record updated Aug 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA-3064 Issued in CO
Practice address
101 Founders PL
Suite 109
Aspen, CO 81611-1476
Phone
(970) 920-0104
NPI assigned
Aug 30, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA-3064 CO Primary

Addresses

Primary practice location

101 Founders PL
Suite 109
Aspen, CO 81611-1476

Mailing address

101 Founders PL
Suite 109
Aspen, CO 81611-1476
Phone (970) 920-0104

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231220002112 CO Practitioner - Physician Assistant 0244532307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley View Hospital AssociationGroup PAC ID 1850294778, 205 clinicians

Practice addresses (Care Compare)

1906 Blake Ave
Glenwood SPGS, CO 81601-4227
Phone (970) 945-6533

350 Market St
Unit 201
Basalt, CO 81621-7403
Phone (970) 945-6533

978 Euclid Ave
Carbondale, CO 81623-1820
Phone (970) 963-3350

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-3064COMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Valley View Hospital Association CurrentSince Nov 10, 2023 Accepting new patients
Valley View Hospital Association CurrentSince Nov 10, 2023 Accepting new patients
Valley View Hospital Association Past Accepting new patients

Locations

350 Market St
Basalt, CO 81621
Phone (970) 384-6770

1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033

Interoperability endpoints

  • Direct secure messaging: shari.kiehnbaum.1@9028.direct.athenahealth.com

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283126400000",
    "number": "1801102736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 FOUNDERS PL",
            "address_2": "SUITE 109",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "816111476",
            "telephone_number": "970-920-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FOUNDERS PL",
            "address_2": "SUITE 109",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "816111476",
            "telephone_number": "970-920-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEHNBAUM",
        "first_name": "SHARI",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-30",
        "last_updated": "2010-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA-3064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aspen, CO

Sources for this page

Verify at the official NPI Registry.