TINA RENEE KAUDERER CNP NPI 1366763468

NPI Information

NPI: 1366763468
Provider Name: TINA RENEE KAUDERER, CNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1001 S PERRY ST STE 104B
CASTLE ROCK, CO
ZIP 80104
Phone: (720) 485-3178
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Tina Renee Kauderer, CNP is a family nurse practitioner in Castle Rock, CO with 15 years of experience. Tina Renee Kauderer, CNP NPI is 1366763468. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1001 S PERRY ST STE 104B
CASTLE ROCK, CO
ZIP 80104-950
Phone: (720) 485-3178

The NPI 1366763468 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/13/2010 and was last updated on 2/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	APN.0995983-NP	COLORADO	No
2	363LF0000X	Nurse Practitioner	Family	NP-11175	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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