Active NPI
Brooke Hastings Cheatham, D.O.
- Family Medicine Physician
- Durango, CO
National Provider Identifier
1235549361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DR.0059781
- Practice address
- 1305 Escalente Drive
Unit 205
Durango, CO 81303 - Phone
- (970) 259-1971
- Fax
- (970) 259-4036
- NPI assigned
- Apr 29, 2014
- Last updated
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Family Medicine Physician | 207Q00000X | DR.0059781 | CO | Primary |
Addresses
Primary practice location
1305 Escalente Drive
Unit 205
Durango, CO 81303
Mailing address
1305 Escalente Drive
Unit 205
Durango, CO 81303
Phone (970) 259-1971
Other names 1
- Melissa Brooke Hastings
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
- Opted out of Medicare
- Yes, effective Oct 16, 2020 through Oct 16, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Interoperability endpoints
- brooke.cheatham@36311315054596.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1235549361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 ESCALENTE DRIVE",
"address_2": "UNIT 205",
"city": "DURANGO",
"state": "CO",
"postal_code": "81303",
"telephone_number": "970-259-1971",
"fax_number": "970-259-4036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 ESCALENTE DRIVE",
"address_2": "UNIT 205",
"city": "DURANGO",
"state": "CO",
"postal_code": "81303",
"telephone_number": "970-259-1971",
"fax_number": "970-259-4036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEATHAM",
"first_name": "BROOKE",
"middle_name": "HASTINGS",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-29",
"last_updated": "2023-03-07",
"certification_date": "2020-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "DR.0059781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "HASTINGS",
"middle_name": "BROOKE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Durango, CO
- Rachel K. Chaney, M. D,
- Bryan Chapman, PTA
- Chelsey Chapman, RN
- Melissa Ramona Charbonneau, PHARMD
- Pakhi Chaudhuri, M.D.
- Kayla Cheatham, LSW
- CHI National Home Care, LLC
- CHI National Home Care, LLC
- CHI National Home Care, LLC (Hospice Mercy)
- Child Wellness Center of the Southwest (McMillan Pediatrics)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.