Individual provider Active NPI

Katherine Marie Zybach, MD

  • Pediatrics Physician
  • Grand Junction, CO
National Provider Identifier
1275769325
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
DR0055909 Issued in CO
Practice address
2643 Patterson Rd Ste 603
Grand Junction, CO 81506-1937
Phone
(970) 298-7440
NPI assigned
Jun 3, 2009
Last updated
Nov 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2012020840 MO
Pediatrics Physician 208000000X 4301094205 MI
Pediatrics Physician 208000000X DR0055909 CO Primary

Addresses

Primary practice location

2643 Patterson Rd Ste 603
Grand Junction, CO 81506-1937

Mailing address

9224 Teddy LN
Suite 200
Lone Tree, CO 80124-6798
Phone (303) 790-1515

Other names 1

  • Dr. Katherine Marie Sturgeon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20181221000338 CO Practitioner - Pediatric Medicine 7315282225 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nature's Healers PLLCGroup PAC ID 0446776157, 2 clinicians

Practice addresses (Care Compare)

873 Hwy 6 and 50
Fruita, CO 81521-3137
Phone (970) 640-7578

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR0055909COMDPediatrics Physician
4301094205MIMDPediatrics Physician
2012020840MOMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Dec 3, 2018 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Dec 3, 2018 Accepting new patients
Nature's Healers PLLC CurrentSince Mar 17, 2025 Accepting new patients
Healthone Clinic Services - Pediatric Specialties LLC Pediatrics Past Accepting new patients

Locations

873 Highway 6 and 50
Fruita, CO 81521
Phone (970) 640-7578

1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810

2643 Patterson Rd
Ste 603
Grand Junction, CO 81506
Phone (970) 241-9694

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1275769325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9224 TEDDY LN",
            "address_2": "SUITE 200",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801246798",
            "telephone_number": "303-790-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2643 PATTERSON RD STE 603",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815061937",
            "telephone_number": "970-298-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZYBACH",
        "first_name": "KATHERINE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-03",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2012020840",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301094205",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "DR0055909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "STURGEON",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.