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NPI Code Detail

MEDICARE: KRISTINA SIMMONS

MEDICARE: KRISTINA SIMMONS
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
11041C0700XClinical Social WorkerCSW.09925538CO

General Provider Information

NPI Number : 1538758859
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINA SIMMONS
Provider Business Mailing Address
First Line : PO BOX 9049
Second Line :
City : BOULDER
State : CO
Zip : 80301-9049
Country : US
Telephone Number : 303-415-4101
Fax Number : 303-415-4769
Provider Business Practice Location Address
First Line : 5495 ARAPAHOE AVE STE 100T
Second Line :
City : BOULDER
State : CO
Zip : 80303-1224
Country : US
Telephone Number : 303-415-4299
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2021
Last Update Date : 03/16/2026

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Directions to “ KRISTINA SIMMONS ” Practice Location

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