Active NPI
Kelly O'Shaughnessy Read
- Pediatric Nurse Practitioner
- Centennial, CO
National Provider Identifier
1831829480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APN.0997376-NP
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| APN.0997376-NP | CO | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital Colorado | Current | Accepting new patients | |
| Greenwood Pediatrics PC | Past | Accepting new patients | |
| Greenwood Pediatrics PC | Past | Accepting new patients |
Locations
13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846
Interoperability endpoints
- 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.
-
- Clinical Social Worker
- Aurora, CO
- NPI 1174282776
-
- Primary Care Clinic/Center
- Centennial, CO
- NPI 1619013448
-
- Primary Care Clinic/Center
- Littleton, CO
- NPI 1831792233
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.