Healthcare Provider Details

I. General information

NPI: 1730083528
Provider Name (Legal Business Name): KRISTA LOPEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9395 CROWN CREST BLVD
PARKER CO
80138-8573
US

IV. Provider business mailing address

20720 E BRUNSWICK PL
AURORA CO
80013-8409
US

V. Phone/Fax

Practice location:
  • Phone: 303-269-4000
  • Fax:
Mailing address:
  • Phone: 303-269-4300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.0173869
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: