Organization Active NPI

Kathy Fine McCranie MD Prof LLC

  • Physical Medicine & Rehabilitation Physician
  • Denver, CO
National Provider Identifier
1396776993
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
30645 Issued in CO
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

Updated by the provider on Jan 14, 2008

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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
49139258MedicaidCO
KA670691OtherBC/BS

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.