MEDICARE: KAITLIN GRIFFITH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN.1659640	CO
2	363LF0000X	Family Nurse Practitioner	APN.1001567-NP	CO

General Provider Information

NPI Number	:	1235026659
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAITLIN GRIFFITH

Provider Business Mailing Address
First Line	:	221 E 29TH ST STE 102
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80538-2746
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	221 E 29TH ST STE 102
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80538-2746
Country	:	US
Telephone Number	:	970-624-5150
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2025
Last Update Date	:	03/02/2026

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Directions to “ KAITLIN GRIFFITH ” Practice Location

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