THERESA KISS
Complete NPI Record 1528373990
Registered Nurse in Denver, CO

NPI Status: Active since August 10, 2010

Contact Information

10065 E. HARVARD AVE.
STE 400
DENVER, CO
ZIP 80231
Phone: (303) 614-1400

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Complete NPI Dataset

This page represents the complete record for NPI 1528373990. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1528373990
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
Entity Type Code: 1
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
The last name of the provider. If the provider is an individual, this is the legal name.
Provider First Name: THERESA
The first name of the provider, if the provider is an individual.
Provider First Line Business Mailing Address: 136 E. 11TH AVE.
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address City Name: BROOMFIELD
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: CO
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code: 80020
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S : US
The city name in the location address of the provider being identified.
Provider Business Mailing Address Telephone Number: 3035791862
The State code in the location of the provider being identified.
Provider First Line Business Practice Location Address: 10065 E. HARVARD AVE.
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Second Line Business Practice Location Address: STE 400
The country code in the location address of the provider being identified.
Provider Business Practice Location Address City Name: DENVER
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address State Name: CO
The date the provider was assigned a unique identifier (assigned an NPI).
Provider Business Practice Location Address Postal Code: 80231
The date that a record was last updated or changed.
Provider Business Practice Location Address Country Code If outside U S : US
The code designating the provider’s gender if the provider is a person.
Provider Business Practice Location Address Telephone Number: 3036141400
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider Enumeration Date: 8/10/2010
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 8/10/2010
The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Gender Code: F
The city name in the location address of the provider being identified.
Healthcare Provider Taxonomy Code 1: 163W00000X
The State code in the location of the provider being identified.
Provider License Number 1: 81322
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider License Number State Code 1: CO
The country code in the location address of the provider being identified.
Healthcare Provider Primary Taxonomy Switch 1: Y
The telephone number associated with the location address of the provider being identified.
Is Sole Proprietor: N
The fax number associated with the location address of the provider being identified.