Provider Demographics
NPI:1457489726
Name:HINSON, KRISTEN MARIE (NP)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:MARIE
Last Name:HINSON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 17528
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80217-0528
Mailing Address - Country:US
Mailing Address - Phone:405-682-3303
Mailing Address - Fax:405-384-6793
Practice Address - Street 1:300 EXEMPLA CIR STE 300
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-3394
Practice Address - Country:US
Practice Address - Phone:037-814-4853
Practice Address - Fax:720-274-0064
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2020-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0000385363LF0000X, 363LF0000X
NC5002807363L00000X
FLARNP2227472363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO89820088Medicaid
CO1A7618OtherMEDICARE
NC1457489726Medicaid
NC5002807OtherSTATE LICENSE
561380014IOtherHUMANA
NC7004320Medicaid
NC811997OtherPARTNERS
561380014IOtherHUMANA
NC2592879BMedicare PIN
SCNP1300Medicaid