Active NPI
Kathy Fine McCranie MD Prof LLC
- Physical Medicine & Rehabilitation Physician
- Denver, CO
National Provider Identifier
1396776993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 30645
- Legal business name
- KATHY FINE MCCRANIE MD PROF LLC
- Practice address
- 1380 S Santa Fe Dr
Suite 100
Denver, CO 80223-3216 - Phone
- (303) 777-3425
- Fax
- (303) 777-3425
- NPI assigned
- Jul 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathy Fine McCranie, MD
- Title
- Owner
- Phone
- (303) 777-3422
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 30645 | CO | Primary |
Addresses
Primary practice location
1380 S Santa Fe Dr
Suite 100
Denver, CO 80223-3216
Mailing address
PO Box 17794
Denver, CO 80217-0794
Phone (800) 968-6866
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49139258 | Medicaid | CO | |
| KA670691 | Other | BC/BS |
National Provider Directory
National Provider DirectoryLocations
2490 W 26th Ave
#200
Denver, CO 80211
Phone (303) 433-2300
1380 S Santa Fe Dr
Denver, CO 80223
Phone (303) 777-3422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200268800000",
"number": "1396776993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 17794",
"city": "DENVER",
"state": "CO",
"postal_code": "802170794",
"telephone_number": "800-968-6866",
"fax_number": "616-532-7230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1380 S SANTA FE DR",
"address_2": "SUITE 100",
"city": "DENVER",
"state": "CO",
"postal_code": "802233216",
"telephone_number": "303-777-3425",
"fax_number": "303-777-3425"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KATHY FINE MCCRANIE MD PROF LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-05",
"last_updated": "2008-01-14",
"status": "A",
"authorized_official_last_name": "MCCRANIE",
"authorized_official_first_name": "KATHY",
"authorized_official_middle_name": "FINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "303-777-3422",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "CO",
"license": "30645",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "49139258",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "KA670691",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.