MRS. KIMBERLY MARIE PICCHIETTI PA-C NPI 1467554659

NPI Information

  • NPI: 1467554659
  • Provider Name: MRS. KIMBERLY MARIE PICCHIETTI, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4567 E 9TH AVE
    PAVILION II
    DENVER, CO
    ZIP 80220
  • Phone: (303) 320-7200

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NPI Details

MRS. Kimberly Marie Picchietti, PA-C is a surgical physician assistant in Denver, CO. MRS. Kimberly Marie Picchietti, PA-C NPI is 1467554659. 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:

4567 E 9TH AVE
PAVILION II
DENVER, CO
ZIP 80220-908
Phone: (303) 320-7200
Fax: (303) 320-2145

The NPI 1467554659 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 9/1/2006 and was last updated on 9/14/2022.

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
1363AS0400XPhysician AssistantSurgicalPA-2276COLORADOYes

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
113703064MEDICAIDCOLORADO

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: 3/30/2025

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