Healthcare Provider Details

I. General information

NPI: 1487588877
Provider Name (Legal Business Name): KELSEY ACOSTA CPNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 E 136TH AVE STE 201
THORNTON CO
80241-3542
US

IV. Provider business mailing address

10344 SEVERANCE DR
PARKER CO
80134-9132
US

V. Phone/Fax

Practice location:
  • Phone: 303-996-6005
  • Fax:
Mailing address:
  • Phone: 303-996-6005
  • Fax: 303-420-8831

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAPN1001678NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: