NPIMap

Individual provider Active NPI

Steven Clark Kinnett, M.D

  • Rehabilitation Practitioner
  • Pueblo, CO
National Provider Identifier
1881674752
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
License
28014 Issued in CO
Practice address
1619 N Greenwood St
Suite 406
Pueblo, CO 81003-2644
Phone
(719) 584-7310
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X 28014 CO Primary

Addresses

Primary practice location

1619 N Greenwood St
Suite 406
Pueblo, CO 81003-2644

Mailing address

1619 N Greenwood St
Suite 406
Pueblo, CO 81003-2644
Phone (719) 584-7310

Other identifiers 1

IdentifierTypeStateIssuer
01280148MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070814000357 CO Practitioner - Physical Medicine and Rehabilitation 9234220666 Practice locations: Pueblo, CO

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Colorado School of Medicine, Denver, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1619 N Greenwood St
Pueblo, CO 81003-2658
Phone (719) 584-7310

Hospital & facility affiliations

  • Sangre de Cristo Hospice & Palliative Care Hospice, Pueblo, CO, CCN 061510
  • Parkview Medical Center, Inc Hospital, Pueblo, CO, CCN 060020
  • Uch-Memorial Health System Hospital, Colorado Springs, CO, CCN 060022
  • St Mary-Corwin Hospital Hospital, Pueblo, CO, CCN 060012
  • Centura Health-Penrose St Francis Health Services Hospital, Colorado Springs, CO, CCN 060031
  • University of Colorado Hospital Authority Hospital, Aurora, CO, CCN 060024
  • Parkview Medical Center Inpatient rehabilitation facility, Pueblo, CO, CCN 06T020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28014COMDRehabilitation Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Parkview Medical Center, Inc. Past Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sharmar Village Care CenterPueblo, CO, CCN 065355 Skilled nursing facility Adp of the SNF Oct 11, 1995
University Park Care CenterPueblo, CO, CCN 065231 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 11, 2016
Apr 2, 2025
Skyline Ridge Nursing and Rehabilitation CenterCanon City, CO, CCN 065250 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Jan 1, 2025

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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.

Hospital & facility affiliations 59

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 59

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1881674752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 N GREENWOOD ST",
            "address_2": "SUITE 406",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032644",
            "telephone_number": "719-584-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 N GREENWOOD ST",
            "address_2": "SUITE 406",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032644",
            "telephone_number": "719-584-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNETT",
        "first_name": "STEVEN",
        "middle_name": "CLARK",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "CO",
            "license": "28014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01280148",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.