Active NPI
Kelli Pratt, RN
- Registered Nurse
- Lone Tree, CO
National Provider Identifier
1962072033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 184936
- Practice address
- 10240 Park Meadows Dr
Lone Tree, CO 80124-5425 - Phone
- (303) 338-4545
- NPI assigned
- Jun 30, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 184936 | CO | Primary |
Addresses
Primary practice location
10240 Park Meadows Dr
Lone Tree, CO 80124-5425
Mailing address
5952 S Ironton CT
Englewood, CO 80111-5709
Phone (720) 841-0555
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | N/A |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 184936 | CO | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625011200000",
"number": "1962072033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5952 S IRONTON CT",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801115709",
"telephone_number": "720-841-0555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10240 PARK MEADOWS DR",
"city": "LONE TREE",
"state": "CO",
"postal_code": "801245425",
"telephone_number": "303-338-4545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRATT",
"first_name": "KELLI",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-30",
"last_updated": "2021-06-30",
"certification_date": "2021-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "184936",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "N/A",
"affiliation": "N",
"address_1": "10240 Park Meadows Dr",
"city": "Lone Tree",
"state": "CO",
"country_code": "US",
"postal_code": "801245425",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lone Tree, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.