Individual provider Active NPI

Katharine Meddles, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Denver, CO
National Provider Identifier
1134424963
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
DR.0061537 Issued in CO
Practice address
2055 N High St Ste 210
Denver, CO 80205-5507
Phone
(303) 226-7230
Fax
(866) 401-9731
NPI assigned
Jan 26, 2011
Last updated
Sep 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 2012021750 MO
Children's Hospital 282NC2000X 2012021750 MO
Pediatrics Physician 208000000X A115350 CA
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 0061537 CO
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X A115350 CA
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 2012021750 MO
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X DR.0061537 CO Primary

Addresses

Primary practice location

2055 N High St Ste 210
Denver, CO 80205-5507

Mailing address

2055 N High St Ste 210
Denver, CO 80205-5507
Phone (303) 226-7230

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A115350CAMDPediatrics Physician
0061537COMDNeurology with Special Qualifications in Child Neurology Physician
2012021750MOMDChildren's Hospital

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Neurology and Epilepsy Specialists, PLLC Neurology With Special Qualifications in Child Neurology Past Accepting new patients
Healthone Clinic Services - Pediatric Specialties LLC Pediatrics PastSince Sep 27, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: katharine.meddles.1@18767.direct.athenahealth.com

Organizations & group practices 2

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": "1296000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1134424963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 N HIGH ST STE 210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802055507",
            "telephone_number": "303-226-7230",
            "fax_number": "866-401-9731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 N HIGH ST STE 210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802055507",
            "telephone_number": "303-226-7230",
            "fax_number": "866-401-9731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDDLES",
        "first_name": "KATHARINE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-26",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MO",
            "license": "2012021750",
            "primary": false
        },
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "MO",
            "license": "2012021750",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A115350",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "CO",
            "license": "0061537",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "CA",
            "license": "A115350",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "MO",
            "license": "2012021750",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "CO",
            "license": "DR.0061537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.