Individual provider Active NPI

Kate Sawicki

  • Pediatrics Physician
  • Grand Junction, CO
National Provider Identifier
1114422946
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
DR.0071297 Issued in CO
Practice address
360 W Park Dr Ste 201
Grand Junction, CO 81505-1619
Phone
(970) 609-7337
NPI assigned
Mar 25, 2018
Last updated
Jul 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NM
Pediatrics Physician 208000000X A-2507-21 NM
Pediatrics Physician 208000000X DR.0071297 CO Primary

Addresses

Primary practice location

360 W Park Dr Ste 201
Grand Junction, CO 81505-1619

Mailing address

360 W Park Dr Ste 201
Grand Junction, CO 81505-1619

Other practice location 1

1 University Of New Mexico McS10 5590
Albuquerque, NM 87131-0001
Phone (505) 272-2345

Other practice location 2

8308 Constitution Pl NE
Albuquerque, NM 87110-7637
Phone (505) 883-9570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180809001179 NM Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 2668720566

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DR.0071297COMDPediatrics Physician
A-2507-21NMMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Altitude Pediatrics Pediatrics CurrentSince Jul 23, 2023 Accepting new patients
Altitude Pediatrics Pediatrics CurrentSince Jul 23, 2023 Accepting new patients
St. Mary's Hospital and Medical Center, Inc. Past Accepting new patients

Locations

360 W Park Dr
Ste 201
Grand Junction, CO 81505
Phone (970) 609-7337

Interoperability endpoints

  • Direct secure messaging: ksawicki@altp.pcc-direct.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1521936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1114422946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 W PARK DR STE 201",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 W PARK DR STE 201",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051619",
            "telephone_number": "970-609-7337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 University Of New Mexico McS10 5590",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871310001",
            "country_code": "US",
            "telephone_number": "505-272-2345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8308 Constitution Pl NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871107637",
            "country_code": "US",
            "telephone_number": "505-883-9570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAWICKI",
        "first_name": "KATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-25",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NM",
            "license": "A-2507-21",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "DR.0071297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.