Active NPI
Christy A. Kazmeroff, PMHNP, FNP, ACNP
- Psychiatric/Mental Health Nurse Practitioner
- Parker, CO
National Provider Identifier
1932467016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 990343
- Practice address
- 19641 E Parker Square Dr Ste J
Parker, CO 80134-7397 - Phone
- (720) 766-8321
- Fax
- (720) 358-5924
- NPI assigned
- Apr 26, 2012
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | NP-990343 | CO | |
| Family Nurse Practitioner | 363LF0000X | NP-990343 | CO | |
| Registered Nurse | 163W00000X | RN-167801 | CO | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 990343 | CO | Primary |
Addresses
Primary practice location
19641 E Parker Square Dr Ste J
Parker, CO 80134-7397
Mailing address
19641 E Parker Square Dr Ste J
Parker, CO 80134-7397
Phone (720) 766-8321
Other practice location 1
3800 Automation Way Ste 102
Fort Collins, CO 80525-3451
Phone (970) 900-5835
Other practice location 2
4565 Kendall Pkwy
Loveland, CO 80538-9268
Phone (970) 410-8228
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000155669 | Medicaid | CO |
Other names 1
- Christy A. Roberts
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140115000342 | CO | Practitioner - Nurse Practitioner | 7810125085 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-167801 | CO | MD | Registered Nurse |
| NP-990343 | CO | MD | Family Nurse Practitioner |
| 990343 | CO | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Turecek PLLC Dba Raft Counseling | Past | Accepting new patients | |
| Northpoint Colorado LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Substance Abuse Rehabilitation Facility
- Loveland, CO
- NPI 1477155901
-
- Mental Health Counselor
- Parker, CO
- NPI 1285298976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680652800000",
"number": "1932467016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19641 E PARKER SQUARE DR STE J",
"city": "PARKER",
"state": "CO",
"postal_code": "801347397",
"telephone_number": "720-766-8321",
"fax_number": "720-358-5924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19641 E PARKER SQUARE DR STE J",
"city": "PARKER",
"state": "CO",
"postal_code": "801347397",
"telephone_number": "720-766-8321",
"fax_number": "720-358-5924"
}
],
"practiceLocations": [
{
"address_1": "3800 Automation Way Ste 102",
"address_purpose": "LOCATION",
"city": "Fort Collins",
"state": "CO",
"postal_code": "805253451",
"country_code": "US",
"telephone_number": "970-900-5835",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4565 Kendall Pkwy",
"address_purpose": "LOCATION",
"city": "Loveland",
"state": "CO",
"postal_code": "805389268",
"country_code": "US",
"telephone_number": "970-410-8228",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAZMEROFF",
"first_name": "CHRISTY",
"middle_name": "A.",
"credential": "PMHNP, FNP, ACNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-26",
"last_updated": "2023-04-05",
"certification_date": "2023-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CO",
"license": "NP-990343",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "NP-990343",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "RN-167801",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CO",
"license": "990343",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000155669",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTY",
"last_name": "ROBERTS",
"middle_name": "A.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Parker, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.