Individual provider Active NPI

Kathryn K Murray, DO

  • Family Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1326249269
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
44014 Issued in CO
Practice address
6011 E Woodmen Rd
Suite 100
Colorado Springs, CO 80923-2602
Phone
(719) 571-8100
Fax
(719) 571-8110
NPI assigned
May 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 44014 CO Primary

Addresses

Primary practice location

6011 E Woodmen Rd
Suite 100
Colorado Springs, CO 80923-2602

Mailing address

2773 Janitell Rd
Colorado Springs, CO 80906-4102
Phone (719) 365-6478

Other practice location 1

2773 Janitell Rd
Colorado Springs, CO 80906-4102
Phone (719) 365-6478

Other identifiers 3

IdentifierTypeStateIssuer
01225051MedicaidCO
95573577MedicaidCO
87588820MedicaidCO

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
I20080828000100 CO Practitioner - Family Practice 3971679937 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44014COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care PA CurrentSince May 10, 2022 Accepting new patients
American Current Care P.a. CurrentSince May 10, 2022 Accepting new patients
Healthone Clinic Services - Primary Care LLC Family Medicine Past Accepting new patients

Locations

6011 E Woodmen Rd
Ste 100
Colorado Springs, CO 80923
Phone (719) 571-8100

1730 Blake St
Ste 100
Denver, CO 80202
Phone (303) 296-2273

4117 N Elizabeth St
Pueblo, CO 81008
Phone (719) 520-1102

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1326249269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2773 JANITELL RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064102",
            "telephone_number": "719-365-6478",
            "fax_number": "719-365-7981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 E WOODMEN RD",
            "address_2": "SUITE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232602",
            "telephone_number": "719-571-8100",
            "fax_number": "719-571-8110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2773 Janitell Rd",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809064102",
            "country_code": "US",
            "telephone_number": "719-365-6478",
            "fax_number": "719-365-7981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "KATHRYN",
        "middle_name": "K",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "44014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01225051",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95573577",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87588820",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.