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DR. KRISTIN WALLICK M.D. NPI 1356311203


NPI Information

NPI: 1356311203
Provider Name: DR. KRISTIN WALLICK, M.D.
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

PECOS Registration: Yes

Address:
2121 E HARMONY RD
STE 300
FORT COLLINS, CO
ZIP 80528
Phone: (970) 224-9102
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DR. Kristin Wallick, M.D. is a pulmonary disease internal medicine in Fort Collins, CO with 31 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. DR. Kristin Wallick, M.D. NPI is 1356311203. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MEDICAL COLLEGE OF WISCONSIN
Graduation Year:1993

The provider's business location address is:

2121 E HARMONY RD
STE 300
FORT COLLINS, CO
ZIP 80528-400
Phone: (970) 224-9102
Fax: (970) 224-9112

The NPI 1356311203 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of central venous catheter for infusion, patient 5 years or older (HCPCS:36556)
  • Insertion of arterial catheter for blood sampling or infusion, accessed through the skin (HCPCS:36620)

The enumeration date for this NPI number is 1/24/2006 and was last updated on 8/16/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0200XInternal MedicineCritical Care MedicineDR.0037197COLORADONo
2207R00000XInternal MedicineDR.0037197COLORADONo
3207RP1001XInternal MedicinePulmonary DiseaseDR.0037197COLORADOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W26782MEDICARE PINWYOMING
2P00031437OTHERCOLORADORAILROAD MEDICARE
336659231MEDICAIDCOLORADO
4119016400MEDICAIDWYOMING
5C500838MEDICARE PINCOLORADO
6268370YKB8MEDICARE PINCOLORADO
7H32776MEDICARE UPINCOLORADO

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.