KAITLYN ELIZABETH RUNNELS RN NPI 1013573997

NPI Information

NPI: 1013573997
Provider Name: KAITLYN ELIZABETH RUNNELS, RN
Classification: Nurse Practitioner - 363LN0000X
Entity Type: Individual

Specialization: Neonatal

Address:
1801 16TH ST
GREELEY, CO
ZIP 80631
Phone: (970) 810-4121
Get Directions

Kaitlyn Elizabeth Runnels, RN is a neonatal nurse practitioner in Greeley, CO. Kaitlyn Elizabeth Runnels, RN NPI is 1013573997. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1801 16TH ST
GREELEY, CO
ZIP 80631-199
Phone: (970) 810-4121

The enumeration date for this NPI number is 5/15/2019 and was last updated on 11/20/2019.

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	163WN0002X	Registered Nurse	Neonatal Intensive Care	1617123	COLORADO	No
2	363LN0000X	Nurse Practitioner	Neonatal	0994847-NP	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0994847-NP	OTHER	COLORADO	APN LICENSE
2	1617123	OTHER	COLORADO	RN LICENSE
3	1013573997	MEDICAID	COLORADO

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: 11/14/2023

NPI Synchronization or Removal

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