Kathleen J Prudlo, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

103074 Issued in CO

Practice address

7701 Sheridan Blvd
Westminster, CO 80003-2605

Phone

(303) 657-6538

NPI assigned

Feb 27, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1902933971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12398 W 70TH AVE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800042334",
            "telephone_number": "303-424-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7701 SHERIDAN BLVD",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800032605",
            "telephone_number": "303-657-6538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUDLO",
        "first_name": "KATHLEEN",
        "middle_name": "J",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "103074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER-COMMERCIAL NUMBER",
            "identifier": "008771",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Proactive MD Co, P.C. (The Center for Healthy Living)
• Ryan Kelley Probasco, D.C.
• Profound Fitness, LLC
• Providence Healthcare Associates PC
• Grace Olivia Provost
• Psych2Help
• Psychognosis, LLC
• Mark W Ptaskiewicz, MD
• Melissa Puchak, D.AC.
• Anna Pudil, RBT

• Registered Nurse in Westminster, CO
• Providers in Westminster, CO by specialty
• Registered Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.