| Kathleen Anne Gouldy, NP | |
| 
					3455 Lutheran Pkwy Ste 105, Wheat Ridge, CO 80033-6028  | |
| (303) 665-2603 | |
| (303) 665-2605 | 
| Full Name | Kathleen Anne Gouldy | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 3455 Lutheran Pkwy Ste 105, Wheat Ridge, Colorado | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1851573612 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0102212-NP (Colorado) | Primary | 
| Entity Name | Intermountain Front Range, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1083444079 PECOS PAC ID: 6800799537 Enrollment ID: O20040130000049  | 
| Entity Name | Orthopedic Centers Of Colorado Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1801339502 PECOS PAC ID: 2365714540 Enrollment ID: O20170823001317  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kathleen Anne Gouldy, NP 3455 Lutheran Pkwy Ste 105, Wheat Ridge, CO 80033-6028 Ph: (303) 665-2603  | Kathleen Anne Gouldy, NP 3455 Lutheran Pkwy Ste 105, Wheat Ridge, CO 80033-6028 Ph: (303) 665-2603  | 
Brooke Edwards,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7821 W 38th Ave, Wheat Ridge, CO 80033 Phone: 303-422-2343  | |
Mrs. Jennifer M Knodle, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10900 W 44th Ave Unit 200, Wheat Ridge, CO 80033 Phone: 303-379-9371 Fax: 303-284-4082  | |
Katherine Elizabeth Slone, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7495 W 29th Ave, Wheat Ridge, CO 80033 Phone: 303-360-6276  | |
Elizabeth Yan, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3555 Lutheran Pkwy Ste 200, Wheat Ridge, CO 80033 Phone: 720-284-3700  | |
Mrs. Annelle Marie Fahlsing, RNC,NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8300 W 38th Ave, Wheat Ridge, CO 80033 Phone: 303-425-2217  | |
Kelly Chasin, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3555 Lutheran Pkwy Ste 340, Wheat Ridge, CO 80033 Phone: 303-996-6005  | |
Emily Clare Kubovic, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10900 W 44th Ave Unit 200, Wheat Ridge, CO 80033 Phone: 303-993-1330 Fax: 303-957-5757  |