Individual provider Active NPI

Kimberly Callihan, FNP

  • Family Nurse Practitioner
  • Englewood, CO
National Provider Identifier
1851021869
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0997722 Issued in CO
Practice address
169 Inverness Dr W Ste 400
Englewood, CO 80112-5072
Phone
(719) 522-3554
NPI assigned
Jun 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 0171744 CO
Family Nurse Practitioner 363LF0000X 0997722 CO Primary

Addresses

Primary practice location

169 Inverness Dr W Ste 400
Englewood, CO 80112-5072

Mailing address

169 Inverness Dr W Ste 400
Englewood, CO 80112-5072
Phone (719) 522-3554

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
I20220909002053 CO Order and Referring Only - Nurse Practitioner 8527443647

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0171744COMDSchool Registered Nurse
0997722COMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1851021869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 INVERNESS DR W STE 400",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125072",
            "telephone_number": "719-522-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 INVERNESS DR W STE 400",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125072",
            "telephone_number": "719-522-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLIHAN",
        "first_name": "KIMBERLY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "CO",
            "license": "0171744",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0997722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.