Active NPI
Dara Lynn Kolodner, M.D.
- Psychiatry Physician
- Boulder, CO
National Provider Identifier
1811296817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- DR.0058245
- Practice address
- 4770 Baseline Rd Ste 200
Boulder, CO 80303-2668 - Phone
- (720) 715-8459
- NPI assigned
- Mar 16, 2011
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | DR.0058245 | CO | Primary |
Addresses
Primary practice location
4770 Baseline Rd Ste 200
Boulder, CO 80303-2668
Mailing address
4770 Baseline Rd Ste 200
Boulder, CO 80303-2668
Phone (720) 715-8459
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0058245 | CO | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627084800000",
"number": "1811296817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4770 BASELINE RD STE 200",
"city": "BOULDER",
"state": "CO",
"postal_code": "803032668",
"telephone_number": "720-715-8459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4770 BASELINE RD STE 200",
"city": "BOULDER",
"state": "CO",
"postal_code": "803032668",
"telephone_number": "720-715-8459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLODNER",
"first_name": "DARA",
"middle_name": "LYNN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-16",
"last_updated": "2021-07-24",
"certification_date": "2021-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "DR.0058245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.