Individual provider Active NPI

Kadijatu Kakay, DNP, FNP-C

  • Family Nurse Practitioner
  • Fort Carson, CO
National Provider Identifier
1992051270
Registry record updated Oct 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0994700-NP Issued in CO
Practice address
1650 Cochrane Circle
Fort Carson, CO 80913
Phone
(719) 526-6767
NPI assigned
Jul 24, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Military Health Care Provider 171000000X MD
Family Nurse Practitioner 363LF0000X APN.0994700-NP CO Primary

Addresses

Primary practice location

1650 Cochrane Circle
Fort Carson, CO 80913

Mailing address

1650 Cochrane Cir
Fort Carson, CO 80913-4613
Phone (719) 526-6767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, VA, AK3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190913001198 TX Practitioner - Nurse Practitioner 3274862479 Reassigns benefits to 2 organizations
I20201014001238 VA Practitioner - Nurse Practitioner 3274862479
I20230906004105 AK Practitioner - Nurse Practitioner 3274862479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Aleutian Tribes, Inc.Group PAC ID 2860301884, 34 clinicians

Practice addresses (Care Compare)

2105 Main St
Adak, AK 99546-2105
Phone (907) 592-8383

40 Main St
Nelson Lagoon, AK 99571-0040
Phone (907) 989-2202

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Sound Health Corporation CurrentSince Jul 12, 2023 Accepting new patients
Norton Sound Health Corporation Current Accepting new patients
Norton Sound Health Corporation CurrentSince Jul 12, 2023 Accepting new patients
Eagle Butte Indian Health Service Hospital CurrentSince Aug 5, 2019 Accepting new patients
Eastern Aleutian Tribes, Inc CurrentSince Oct 2, 2025 Accepting new patients
Eastern Aleutian Tribes, Inc Past Accepting new patients

Locations

3380 C St
Ste 100
Anchorage, AK 99503
Phone (907) 277-1440

3380 C St
Ste 107
Anchorage, AK 99503
Phone (907) 277-1440

Organizations & group practices 6

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": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1992051270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 COCHRANE CIR",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809134613",
            "telephone_number": "719-526-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 COCHRANE CIRCLE",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "80913",
            "telephone_number": "719-526-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAKAY",
        "first_name": "KADIJATU",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2020-10-25",
        "certification_date": "2020-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0994700-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Carson, CO

Sources for this page

Verify at the official NPI Registry.