Individual provider Active NPI

Hannah Krewson, LAT ATC

  • Sports Medicine (Preventive Medicine) Physician
  • Glenwood Springs, CO
National Provider Identifier
1336758309
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Preventive Medicine) PhysicianTaxonomy code 2083S0010X
License
AT.0001657 Issued in CO
Practice address
1906 Blake Ave
Glenwood Springs, CO 81601-4227
Phone
(970) 384-8061
Fax
(970) 384-8120
NPI assigned
Jul 27, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Preventive Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083S0010X 0001657 CO
Clinic/Center 261Q00000X
Sports Medicine (Preventive Medicine) Physician 2083S0010X AT.0001657 CO Primary

Addresses

Primary practice location

1906 Blake Ave
Glenwood Springs, CO 81601-4227

Mailing address

1906 Blake Ave
Glenwood Springs, CO 81601-4227
Phone (970) 384-8061

Other identifiers 1

IdentifierTypeStateIssuer
2000022876OtherBOC IDENTIFICATION

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hannah.krewson@vvh.org Direct

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0001657COMDSports Medicine (Preventive Medicine) Physician
AT.0001657COMDSports Medicine (Preventive Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1336758309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 BLAKE AVE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014227",
            "telephone_number": "970-384-8061",
            "fax_number": "970-384-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 BLAKE AVE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014227",
            "telephone_number": "970-384-8061",
            "fax_number": "970-384-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREWSON",
        "first_name": "HANNAH",
        "credential": "LAT ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-27",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083S0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Sports Medicine",
            "state": "CO",
            "license": "0001657",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083S0010X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Sports Medicine",
            "state": "CO",
            "license": "AT.0001657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOC IDENTIFICATION",
            "identifier": "2000022876",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hannah.krewson@vvh.org",
            "affiliation": "N",
            "endpointDescription": "clinic email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "VVH Hospital",
            "address_1": "1906 Blake Ave",
            "city": "Glenwood Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "816014227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glenwood Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.