Active NPI
Kimberly Wenninghoff, DNP, FNP
- Family Nurse Practitioner
- Northglenn, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2018008059
- Practice address
- 10761 Claire LN
Northglenn, CO 80234-3730 - Phone
- (520) 228-1511
- NPI assigned
- Jul 19, 2018
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2018008059 | TN | Primary |
Addresses
Primary practice location
10761 Claire LN
Northglenn, CO 80234-3730
Mailing address
10761 Claire LN
Northglenn, CO 80234-3730
Other practice location 1
2270 Garden Of The Gods Rd Ste 103
Colorado Spgs, CO 80907-9440
Phone (720) 456-3989
Other practice location 2
680 W 121st Ave Ste 110
Westminster, CO 80234-4223
Phone (720) 595-2089
Other practice location 3
7307 S Revere Pkwy Ste 201
Centennial, CO 80112-3931
Phone (720) 456-3989
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APN.0997010-NP | Other | CO | COLORADO NP LICENSING |
Other names 1
- Kimberly Johnson
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
6912 S Quentin St
Suite 50
Centennial, CO 80112-4531
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018008059 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mosaic Infusion Solutions LLC | Current | Accepting new patients | |
| Mosaic Infusion Solutions LLC | Current | Accepting new patients | |
| Mosaic Infusion Solutions LLC | Current | Accepting new patients |
Locations
7307 S Revere Pkwy
Ste 201
Centennial, CO 80112
Phone (720) 456-3989
2270 Garden of the Gods Rd
Ste 103
Colorado Springs, CO 80907
Phone (719) 785-1378
6912 S Quentin St
Ste 50
Englewood, CO 80112
680 W 121st Ave
Ste 110
Westminster, CO 80234
Phone (208) 640-6096
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.
-
- Infusion Therapy Clinic/Center
- Thornton, CO
- NPI 1891433470
-
- Infusion Therapy Clinic/Center
- Colorado Springs, CO
- NPI 1457962318
-
- Infusion Therapy Clinic/Center
- Centennial, CO
- NPI 1467016907
-
- Infusion Therapy Clinic/Center
- Anchorage, AK
- NPI 1255067591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721692800000",
"number": "1841776101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10761 CLAIRE LN",
"city": "NORTHGLENN",
"state": "CO",
"postal_code": "802343730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10761 CLAIRE LN",
"city": "NORTHGLENN",
"state": "CO",
"postal_code": "802343730",
"telephone_number": "520-228-1511"
}
],
"practiceLocations": [
{
"address_1": "2270 Garden Of The Gods Rd Ste 103",
"address_purpose": "LOCATION",
"city": "Colorado Spgs",
"state": "CO",
"postal_code": "809079440",
"country_code": "US",
"telephone_number": "720-456-3989",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "680 W 121st Ave Ste 110",
"address_purpose": "LOCATION",
"city": "Westminster",
"state": "CO",
"postal_code": "802344223",
"country_code": "US",
"telephone_number": "720-595-2089",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7307 S Revere Pkwy Ste 201",
"address_purpose": "LOCATION",
"city": "Centennial",
"state": "CO",
"postal_code": "801123931",
"country_code": "US",
"telephone_number": "720-456-3989",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WENNINGHOFF",
"first_name": "KIMBERLY",
"credential": "DNP, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-19",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "2018008059",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO NP LICENSING",
"identifier": "APN.0997010-NP",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "JOHNSON",
"credential": "DNP,FNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Northglenn, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.