Individual provider Active NPI

Kelly O'Shaughnessy Read

  • Pediatric Nurse Practitioner
  • Centennial, CO
National Provider Identifier
1831829480
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APN.0997376-NP Issued in CO
Practice address
9094 E Mineral Cir Ste 100
Centennial, CO 80112-7201
Phone
(303) 694-3200
Fax
(303) 694-2680
NPI assigned
Jun 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X APN.0997376-NP CO Primary

Addresses

Primary practice location

9094 E Mineral Cir Ste 100
Centennial, CO 80112-7201

Mailing address

9094 E Mineral Cir Ste 100
Centennial, CO 80112-7201
Phone (303) 694-3200

Other practice location 1

16830 Northgate Dr Unit 150
Parker, CO 80134-5778
Phone (303) 805-7879

Other practice location 2

8331 S Continental Divide Rd
Littleton, CO 80127-4231
Phone (303) 973-3200

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.0997376-NPCOMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Colorado Current Accepting new patients
Greenwood Pediatrics PC PastSince Nov 20, 2022 Accepting new patients
Greenwood Pediatrics PC PastSince Feb 13, 2022 Accepting new patients

Locations

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

Interoperability endpoints

  • Direct secure messaging: kread39719@direct.childrenscolorado.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1831829480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9094 E MINERAL CIR STE 100",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801127201",
            "telephone_number": "303-694-3200",
            "fax_number": "303-694-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9094 E MINERAL CIR STE 100",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801127201",
            "telephone_number": "303-694-3200",
            "fax_number": "303-694-2680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16830 Northgate Dr Unit 150",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801345778",
            "country_code": "US",
            "telephone_number": "303-805-7879",
            "fax_number": "303-805-8076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8331 S Continental Divide Rd",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801274231",
            "country_code": "US",
            "telephone_number": "303-973-3200",
            "fax_number": "303-904-8510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "READ",
        "first_name": "KELLY",
        "middle_name": "O'SHAUGHNESSY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CO",
            "license": "APN.0997376-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.