1225511819 NPI number — ALLISON JANE KAMM CRNP

Table of content: ALLISON JANE KAMM CRNP (NPI 1225511819)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225511819 NPI number — ALLISON JANE KAMM CRNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KAMM
Provider First Name:
ALLISON
Provider Middle Name:
JANE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
CRNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BOYER
Provider Other First Name:
ALLISON
Provider Other Middle Name:
JANE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
CRNP
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1225511819
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/17/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1805 SHEA CENTER DR STE 450
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HIGHLANDS RANCH
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80129-2255
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-357-2559
Provider Business Mailing Address Fax Number:
303-584-0525

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
850 E HARVARD AVE STE 405
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DENVER
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80210-5077
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-584-8900
Provider Business Practice Location Address Fax Number:
303-584-0525
Provider Enumeration Date:
09/11/2018

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  APN0994211-NP , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)