Individual provider Active NPI

Maryem Kianinejad, NP

  • Nurse Practitioner
  • Thornton, CO
National Provider Identifier
1831638386
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN.0992933-NP Issued in CO
Practice address
8990 Washington St
Thornton, CO 80229-4537
Phone
(720) 929-1655
Fax
(720) 206-0434
NPI assigned
Feb 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN.0992933-NP CO Primary

Addresses

Primary practice location

8990 Washington St
Thornton, CO 80229-4537

Mailing address

1345 Plaza CT N
1A
Lafayette, CO 80026-3531
Phone (303) 665-3036

Other practice location 1

3501 S Corona St Ste 1
Englewood, CO 80113-3907
Phone (720) 487-5628

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MARYEM.KIANINEJAD@hca3.eclinicaldirectplus.com

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
I20170228000786 CO Practitioner - Nurse Practitioner 8729362363 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthone Clinic Services - Primary Care LLCGroup PAC ID 7012804446, 45 clinicians

Practice addresses (Care Compare)

10405 Martin Luther King Blvd
Suite 120
Denver, CO 80238-2399
Phone (303) 394-9355

4500 E 9TH Ave
Suite 450
Denver, CO 80220-3933
Phone (303) 393-1027

4809 Argonne St
Denver, CO 80249-6834
Phone (303) 563-2784

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Campesina Family Health Services CurrentSince Mar 13, 2017 Accepting new patients
Healthone Clinic Services-Surgical Specialties LLC CurrentSince Jan 1, 2019 Accepting new patients
Healthone Clinic Services - Primary Care LLC CurrentSince Sep 26, 2018 Accepting new patients
Clinica Campesina Family Health Services Current Accepting new patients

Locations

4500 E 9th Ave
Ste 450
Denver, CO 80220
Phone (303) 394-9355

4500 E 9th Ave
Ste 615
Denver, CO 80220
Phone (303) 280-2229

4809 Argonne St
Denver, CO 80249
Phone (303) 563-2784

10405 Martin Luther King Blvd
Ste 120
Denver, CO 80238
Phone (303) 394-9355

1735 S Public Rd
Lafayette, CO 80026
Phone 30366530361061

1345 Plaza Ct N
Ste 1A
Lafayette, CO 80026
Phone (303) 665-2962

1735 S Public Rd
Ste 203
Lafayette, CO 80026

8990 Washington St
Thornton, CO 80229
Phone (720) 929-1655

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

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 1

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": "1487203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1831638386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 PLAZA CT N",
            "address_2": "1A",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800263531",
            "telephone_number": "303-665-3036",
            "fax_number": "720-206-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8990 WASHINGTON ST",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294537",
            "telephone_number": "720-929-1655",
            "fax_number": "720-206-0434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3501 S Corona St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801133907",
            "country_code": "US",
            "telephone_number": "720-487-5628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIANINEJAD",
        "first_name": "MARYEM",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-16",
        "last_updated": "2022-01-04",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0992933-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MARYEM.KIANINEJAD@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "3501 S Corona St Ste 1",
            "city": "Englewood",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801133907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

Verify at the official NPI Registry.