Healthcare Provider Details

I. General information

NPI: 1184173098
Provider Name (Legal Business Name): KRISTIN NICOLE BEGGER NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2016
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6767 29TH ST
GREELEY CO
80634-5474
US

IV. Provider business mailing address

6767 29TH ST
GREELEY CO
80634-5474
US

V. Phone/Fax

Practice location:
  • Phone: 970-652-2780
  • Fax: 970-652-2797
Mailing address:
  • Phone: 970-652-2780
  • Fax: 970-652-2797

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.0191385
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number36050.1552
License Number StateWY
# 3
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number36050.1552
License Number StateWY
# 4
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberC-APN.0003402-C-NP
License Number StateCO
# 5
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberC-APN.0003402-C-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: