Provider Demographics
NPI:1447374210
Name:RINN, KRISTIN MCCAULEY (FNP)
Entity type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:MCCAULEY
Last Name:RINN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 MAX DR
Mailing Address - Street 2:STE 120
Mailing Address - City:CASTLE PINES
Mailing Address - State:CO
Mailing Address - Zip Code:80108-9517
Mailing Address - Country:US
Mailing Address - Phone:303-649-3350
Mailing Address - Fax:303-649-3378
Practice Address - Street 1:777 BANNOCK STREET
Practice Address - Street 2:BOX 0107
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204
Practice Address - Country:US
Practice Address - Phone:303-436-4482
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2016-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO128118363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO42577772Medicaid
CO42577772Medicaid
CO808373Medicare Oscar/Certification
CO808373Medicare UPIN