Individual provider Active NPI

Katharine Blair Broyles, F.N.P.-BC

  • Nurse Practitioner
  • Boulder, CO
National Provider Identifier
1962837120
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN.0997704-NP Issued in CO
Practice address
2769 Iris Ave Ste 108
Boulder, CO 80304-4405
Phone
(720) 816-3228
Fax
(775) 363-1711
NPI assigned
Sep 6, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN.0997704-NP CO Primary

Addresses

Primary practice location

2769 Iris Ave Ste 108
Boulder, CO 80304-4405

Mailing address

2769 Iris Ave Ste 108
Boulder, CO 80304-4405
Phone (720) 816-3228

Other names 1

  • Katharine Blair Krogdahl Former name

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)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.0997704-NPCOMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1962837120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2769 IRIS AVE STE 108",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803044405",
            "telephone_number": "720-816-3228",
            "fax_number": "775-363-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2769 IRIS AVE STE 108",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803044405",
            "telephone_number": "720-816-3228",
            "fax_number": "775-363-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROYLES",
        "first_name": "KATHARINE",
        "middle_name": "BLAIR",
        "credential": "F.N.P.-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-06",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0997704-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHARINE",
            "last_name": "KROGDAHL",
            "middle_name": "BLAIR",
            "credential": "F.N.P.-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; 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.