Individual provider Active NPI

Christy A. Kazmeroff, PMHNP, FNP, ACNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Parker, CO
National Provider Identifier
1932467016
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
990343 Issued in CO
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

Updated by the provider on Apr 5, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9000155669MedicaidCO

Other names 1

  • Christy A. Roberts Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140115000342 CO Practitioner - Nurse Practitioner 7810125085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN-167801COMDRegistered Nurse
NP-990343COMDFamily Nurse Practitioner
990343COMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Turecek PLLC Dba Raft Counseling PastSince Aug 1, 2020 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.

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

Verify at the official NPI Registry.