Kathryn Rasmussen, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA.0004791 Issued in CO

Practice address

30960 Stagecoach Blvd
Ste 120
Evergreen, CO 80439-7902

Phone

(303) 674-6671

NPI assigned

Nov 12, 2016

Last updated

Mar 28, 2017By 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 names 1

• Kathryn Wellein Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southeast Denver Pediatrics, PC

  • Pediatrics Physician
  • Denver, CO
  • NPI 1982734430
  NPD (past)

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

{
    "created_epoch": "1478908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1861934515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30960 STAGECOACH BLVD",
            "address_2": "STE 120",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804397902",
            "telephone_number": "303-674-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30960 STAGECOACH BLVD",
            "address_2": "STE 120",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804397902",
            "telephone_number": "303-674-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASMUSSEN",
        "first_name": "KATHRYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-12",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA.0004791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "WELLEIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kamela Qirjo, MA, LPCC
• Brett Quinn
• Tana Victoria Quintana-Price, LPC
• Monica M Rabanal, NP
• Jeannine Marie Ferrigno Randolph, DMS, CHA, PA
• Jeannine Beebe Rauch, PT
• Kari Read, LSW
• Rebecca Kennedy LLC
• Meagan Leigh Reeves, FNP-BC
• Paul Dennis Regan, D.M.D.

• Medical Physician Assistant in Evergreen, CO
• Providers in Evergreen, CO by specialty
• Medical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.