Individual provider Active NPI

Donna Marie Cronk, PA

  • Physician Assistant
  • Fruita, CO
National Provider Identifier
1093910127
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0000342 Issued in CO
Practice address
281 N Plum St
Fruita, CO 81521-2100
Phone
(970) 858-9894
Fax
(970) 858-1331
NPI assigned
Jun 19, 2007
Last updated
Nov 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0000342 CO Primary

Addresses

Primary practice location

281 N Plum St
Fruita, CO 81521-2100

Mailing address

PO Box 130
Fruita, CO 81521-0130
Phone (970) 858-9894

Other practice location 1

300 W Ottley Ave
Fruita, CO 81521-2118
Phone (970) 858-3900

Other practice location 2

2237 Redlands Pkwy
Grand Junction, CO 81507-1101
Phone (970) 858-9894

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address donnacronk@fhwco.cernerdirect.crm Direct

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.0000342COMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: donnacronk@fhwco.cernerdirect.crm

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1093910127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815210130",
            "telephone_number": "970-858-9894",
            "fax_number": "970-858-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 N PLUM ST",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815212100",
            "telephone_number": "970-858-9894",
            "fax_number": "970-858-1331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 W Ottley Ave",
            "address_purpose": "LOCATION",
            "city": "Fruita",
            "state": "CO",
            "postal_code": "815212118",
            "country_code": "US",
            "telephone_number": "970-858-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2237 Redlands Pkwy",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815071101",
            "country_code": "US",
            "telephone_number": "970-858-9894",
            "fax_number": "970-858-1331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRONK",
        "first_name": "DONNA",
        "middle_name": "MARIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0000342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "donnacronk@fhwco.cernerdirect.crm",
            "affiliation": "N",
            "endpointDescription": "Family Health West Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "281 N Plum St",
            "city": "Fruita",
            "state": "CO",
            "country_code": "US",
            "postal_code": "815212100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fruita, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.