Active NPI
Kimberly A Crapeau, RN
- Family Nurse Practitioner
- Pueblo, CO
National Provider Identifier
1851421796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0995192
- Practice address
- 2037 Jerry Murphy Rd Ste 200
Pueblo, CO 81001-1206 - Phone
- (719) 281-3450
- Fax
- (719) 281-3454
- NPI assigned
- Mar 7, 2007
- 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 | 0995192 | CO | Primary |
Addresses
Primary practice location
2037 Jerry Murphy Rd Ste 200
Pueblo, CO 81001-1206
Mailing address
2037 Jerry Murphy Rd Ste 200
Pueblo, CO 81001-1206
Phone (719) 281-3450
Other practice location 1
10400 E Alameda Ave
Denver, CO 80247-5104
Phone (303) 360-1062
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016761 | Other | KAISER-COMMERCIAL NUMBER |
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0995192 | CO | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591660800000",
"number": "1851421796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2037 JERRY MURPHY RD STE 200",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810011206",
"telephone_number": "719-281-3450",
"fax_number": "303-360-1592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2037 JERRY MURPHY RD STE 200",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810011206",
"telephone_number": "719-281-3450",
"fax_number": "719-281-3454"
}
],
"practiceLocations": [
{
"address_1": "10400 E Alameda Ave",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802475104",
"country_code": "US",
"telephone_number": "303-360-1062",
"fax_number": "303-360-1592",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRAPEAU",
"first_name": "KIMBERLY",
"middle_name": "A",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2020-06-09",
"certification_date": "2020-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "0995192",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER-COMMERCIAL NUMBER",
"identifier": "016761",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.