Individual provider Active NPI

Holly Rae Lindstrom, RN

  • Registered Nurse
  • Lone Tree, CO
National Provider Identifier
1821356916
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN-97708 Issued in CO
Practice address
9218 Kimmer Dr
Suite 203
Lonetree, CO 80124-6732
Phone
(720) 763-9017
Fax
(720) 763-9027
NPI assigned
Apr 26, 2012
Last updated
Apr 26, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN-97708 CO Primary

Addresses

Primary practice location

9218 Kimmer Dr
Suite 203
Lonetree, CO 80124-6732

Mailing address

9218 Kimmer Dr
Suite 203
Lonetree, CO 80124-6732
Phone (720) 763-9017

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN-97708COMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335398400000",
    "number": "1821356916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9218 KIMMER DR",
            "address_2": "SUITE 203",
            "city": "LONETREE",
            "state": "CO",
            "postal_code": "801246732",
            "telephone_number": "720-763-9017",
            "fax_number": "720-763-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9218 KIMMER DR",
            "address_2": "SUITE 203",
            "city": "LONETREE",
            "state": "CO",
            "postal_code": "801246732",
            "telephone_number": "720-763-9017",
            "fax_number": "720-763-9027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSTROM",
        "first_name": "HOLLY",
        "middle_name": "RAE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN-97708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.