Katelyn Miranda Deveraux, DO
Individual provider Active NPI General Practice Physician · Grand Junction, CO
NPI 1386225522 · NPPES record last updated Dec 12, 2025
Key facts
- NPI
- 1386225522
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- DR.0069707 (CO)
- Practice address
- 2570 Patterson Rd # RS
Grand Junction, CO 81505-1438 - Phone
- (970) 298-6601
- NPI assigned
- Apr 19, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Intermountain Medical Group Grand Junction, LLC
Practice addresses (Care Compare)
1050 Wellington Ave
Imh Wellington Lung and Sleep Clinic
Grand Junction, CO 81501-8121
Phone (970) 298-5864
2570 Patterson Rd
Grand Junction, CO 81505-1438
Phone (970) 298-6918
Hospital & facility affiliations
- Adoration Home Health
- Hopewest Grand Junction
- Intermountain Health St. Mary'S Regional Hospital
- Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250421000805 | CO | Practitioner - Family Practice | 7113328105 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0069707 | CO | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Medical Group Grand Junction, LLC | Current |
Accepting new patients | |
| Intermountain Medical Group Grand Junction, LLC | Family Medicine | Current | Accepting new patients |
| Intermountain Medical Group Grand Junction, LLC | Current |
Accepting new patients | |
| St Mary'S Hospital and Medical Center, Inc | Family Medicine | Past | Accepting new patients |
Locations
500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021
735 White Ave
Grand Junction, CO 81501
Phone (970) 248-5880
2570 Patterson Rd
Grand Junction, CO 81505
Phone (970) 298-6601
1050 Wellington Ave
Slp Ctr
Grand Junction, CO 81501
Phone (970) 298-5864
1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | DR.0069707 | CO | Yes |
Addresses
Primary practice location
2570 Patterson Rd # RS
Grand Junction, CO 81505-1438
Mailing address
2570 Patterson Rd # RS
Grand Junction, CO 81505-1438
NPI Registry JSON
{
"created_epoch": "1618790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765497600000",
"number": "1386225522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2570 PATTERSON RD # RS",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815051438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2570 PATTERSON RD # RS",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815051438",
"telephone_number": "970-298-6601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVERAUX",
"first_name": "KATELYN",
"middle_name": "MIRANDA",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-19",
"last_updated": "2025-12-12",
"certification_date": "2025-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CO",
"license": "DR.0069707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Junction, CO
- Desert Rose Psychiatry
- Desert Sand, LLC
- Desert Sun Medical Center, P.C.
- Kaitlyn Detlefsen
- Autumn Detor
- Julie Devin
- Kimberly Dewitt
- Jazmin Angelica Di Gregorio
- Demi Marlene Di Rito
- Diagnostic Radiology Associates PC
All providers in Grand Junction, CO · General Practice Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.