Individual provider Active NPI

Katherine J Cheeves, MD

  • Psychiatry Physician
  • Prescott, AZ
National Provider Identifier
1235207424
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20929 Issued in AZ
Practice address
141 S McCormick St Ste 200
Prescott, AZ 86303-4731
Phone
(928) 445-8400
Fax
(928) 776-0208
NPI assigned
Dec 4, 2006
Last updated
Oct 19, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 20929 AZ Primary

Addresses

Primary practice location

141 S McCormick St Ste 200
Prescott, AZ 86303-4731

Mailing address

141 S McCormick St Ste 200
Prescott, AZ 86303-4731
Phone (928) 445-8400

Other identifiers 1

IdentifierTypeStateIssuer
119893MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2024 through Jul 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20909AZMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rob Ashby MD PLC Past Accepting new patients

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287446400000",
    "number": "1235207424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 S MCCORMICK ST STE 200",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863034731",
            "telephone_number": "928-445-8400",
            "fax_number": "928-776-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 S MCCORMICK ST STE 200",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863034731",
            "telephone_number": "928-445-8400",
            "fax_number": "928-776-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEEVES",
        "first_name": "KATHERINE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2010-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "20929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119893",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.