Provider Demographics
NPI:1912037854
Name:COX, KIRSTIN J (MSN,APN,CPNP,IBCLC)
Entity Type:Individual
Prefix:
First Name:KIRSTIN
Middle Name:J
Last Name:COX
Suffix:
Gender:F
Credentials:MSN,APN,CPNP,IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8156 S. WADSWORTH BLVD UNIT E-231
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80128
Mailing Address - Country:US
Mailing Address - Phone:720-290-6752
Mailing Address - Fax:
Practice Address - Street 1:8156 S. WADSWORTH BLVD UNIT E-231
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80128
Practice Address - Country:US
Practice Address - Phone:720-290-6752
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.0110399163W00000X
VAL-12302163WL0100X
CORXN.0004079-NP363LP0200X
COAPN.0003971-NP363LP0200X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse
No163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO12875520Medicaid
MT1912037854Medicaid
WY1912037854Medicaid
NE193200000XMedicaid
KS200969190AMedicaid
MI1912037854Medicaid
NM56129548Medicaid
CO16634OtherKAISER PERMANENTE COLORADO
OK200389390AMedicaid
WY1912037854Medicaid