Healthcare Provider Details

I. General information

NPI: 1033067285
Provider Name (Legal Business Name): HIGHLINE HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19600 E PARKER SQUARE DR STE 120
PARKER CO
80134-7322
US

IV. Provider business mailing address

9079 SNAKE RIVER ST
LITTLETON CO
80125-9373
US

V. Phone/Fax

Practice location:
  • Phone: 720-861-4432
  • Fax: 720-924-2713
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KELLY RICHARDSON
Title or Position: OWNER
Credential: NP
Phone: 720-305-2846