Physician Compare National (NPI:1003917246)

HEALTHCARE PROVIDER: KIMBERLY INEZ RIENIETS D.O.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1003917246
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5799929196
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130925000771
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RIENIETS
	Individual professional last name
Provider First Name	KIMBERLY
	Individual professional first name
Provider Middle Name	I
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
	Individual professional's medical school
Graduation Year	2004
	Individual professional's medical school graduation year
Primary Specialty	ENDOCRINOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	215 S WADSWORTH BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 530
	Group Practice or individual's line 2 address
City	LAKEWOOD
	Group Practice or individual's city
State	CO
	Group Practice or individual's state
Zip Code	802261566
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y