Individual provider Active NPI

Catherine Spykstra, ATC

  • Athletic Trainer
  • Evergreen, CO
National Provider Identifier
1063988137
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
2000022407 Issued in CO
Practice address
29300 Buffalo Park Rd
Evergreen, CO 80439-7432
Phone
(303) 982-5133
NPI assigned
Oct 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 2000022407 CO Primary

Addresses

Primary practice location

29300 Buffalo Park Rd
Evergreen, CO 80439-7432

Mailing address

9687 W Chatfield Ave Unit D
Littleton, CO 80128-9222
Phone (770) 906-7745

Other names 1

  • Catherine Buccino Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2000022407COMDAthletic Trainer

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1063988137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9687 W CHATFIELD AVE UNIT D",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801289222",
            "telephone_number": "770-906-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29300 BUFFALO PARK RD",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804397432",
            "telephone_number": "303-982-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPYKSTRA",
        "first_name": "CATHERINE",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-16",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CO",
            "license": "2000022407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "BUCCINO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Evergreen, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.