Active NPI
Kristine Rasmussen Dangremond, MD
- Child & Adolescent Psychiatry Physician
- Colorado Springs, CO
National Provider Identifier
1285879130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 0053594
- Practice address
- 1330 Quail Lake Loop Ste 240
Colorado Springs, CO 80906-4651 - Phone
- (719) 900-3633
- Fax
- (719) 900-5148
- NPI assigned
- Dec 6, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD20130838 | NM | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 0053594 | CO | Primary |
Addresses
Primary practice location
1330 Quail Lake Loop Ste 240
Colorado Springs, CO 80906-4651
Mailing address
1330 Quail Lake Loop Ste 240
Colorado Springs, CO 80906-4651
Phone (719) 900-3633
Other names 1
- Kristine Marie Rasmussen
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0053594 | CO | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662940800000",
"number": "1285879130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 QUAIL LAKE LOOP STE 240",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809064651",
"telephone_number": "719-900-3633",
"fax_number": "719-900-5148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 QUAIL LAKE LOOP STE 240",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809064651",
"telephone_number": "719-900-3633",
"fax_number": "719-900-5148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANGREMOND",
"first_name": "KRISTINE",
"middle_name": "RASMUSSEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-06",
"last_updated": "2022-09-12",
"certification_date": "2022-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NM",
"license": "MD20130838",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CO",
"license": "0053594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTINE",
"last_name": "RASMUSSEN",
"middle_name": "MARIE",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.