IndividualActive
Kimberly Wassenaar, RT(R), RPA/RA
NPI 1932399714 · Radiologic Technologist · Fort Collins, CO
Provider details
- NPI number
- 1932399714
- Entity type
- Individual
- Primary specialty
- Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- RT(R), RPA/RA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 326783/07CO 1317 (CO)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2821 Willow Tree Ln
Unit D
Fort Collins, CO 80525-4785
Phone: (970) 420-1679
Street-level locationGet directions
Mailing address
2821 Willow Tree Ln
Fort Collins, CO 80525-4785
Registry dates
- Enumerated
- 2007-07-27
- Last updated
- 2007-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.