Kathleen J Willemyns, N.P.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

APN.0004644-NP Issued in CO

Practice address

5920 McIntyre St
Golden, CO 80403

Phone

(303) 434-4876

Fax

(303) 225-4246

NPI assigned

Feb 6, 2006

Last updated

Oct 18, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1841262557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 MCINTYRE ST",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804037445",
            "telephone_number": "720-434-4876",
            "fax_number": "303-225-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 MCINTYRE ST",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "80403",
            "telephone_number": "303-434-4876",
            "fax_number": "303-225-4246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2350 International Cir",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "80910",
            "country_code": "US",
            "telephone_number": "719-475-5065",
            "fax_number": "719-475-5797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLEMYNS",
        "first_name": "KATHLEEN",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "APN.0004644-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16435231",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Margaret Wilberding
• Katelyn Wilczynski
• Wild and Wonderful Life LLC
• Anne Porter Wilfong, FNP
• Benjamin Kerwin Wilkerson, PA-C
• Alivia Ready Williams, RPH
• Kristin Williams, LPC
• Robert Williams, M.D.
• Thomas H Williams, RPH
• John Glen Willis, MA, LPC

• Adult Health Nurse Practitioner in Golden, CO
• Providers in Golden, CO by specialty
• Adult Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.