Kiva Gosnell Stiff, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2155 Issued in CO

Practice address

8990 N Washington St
Thornton, CO 80229-4537

Phone

(720) 929-1655

Fax

(303) 604-6243

NPI assigned

May 11, 2006

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 identifiers 1

Other names 1

• Kiva Gosnell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1902856180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 PLAZA COURT N.",
            "address_2": "#1A",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262832",
            "telephone_number": "303-665-3036",
            "fax_number": "303-604-6243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8990 N WASHINGTON ST",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294537",
            "telephone_number": "720-929-1655",
            "fax_number": "303-604-6243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIFF",
        "first_name": "KIVA",
        "middle_name": "GOSNELL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "2155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51107384",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIVA",
            "last_name": "GOSNELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stepping Stones Counseling Services LLC
• Samantha C Stern, PA-C
• Amanda Stevens
• Karen Stevens, LCSW
• Chloe Stewart, LCSW
• Patrick Stifter, OD
• Joan Louise Stockton, RDH
• Philip Stohlmann, LPC
• Gregory B Stoll, DDS, MS
• Joseph Laurence Stone, MA

• Medical Physician Assistant in Thornton, CO
• Providers in Thornton, 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 7, 2023; 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.