Individual provider Active NPI

Kristina A Cade, D.O.

  • Internal Medicine Physician
  • Lafayette, CO
National Provider Identifier
1467834077
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DR.0068761 Issued in CO
Practice address
2594 Trailridge Dr E
Lafayette, CO 80026-3186
Phone
(303) 449-7740
Fax
(303) 604-5393
NPI assigned
Jun 19, 2015
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X TL.0005657 CO
Internal Medicine Physician 207R00000X DR.0068761 CO Primary

Addresses

Primary practice location

2594 Trailridge Dr E
Lafayette, CO 80026-3186

Mailing address

2594 Trailridge Dr E
Lafayette, CO 80026-3186
Phone (303) 449-7740

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
I20220711000240 CO Practitioner - Internal Medicine 7315254935 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tru Community Care Hospice and Palliative Medicine CurrentSince Jun 27, 2022 Accepting new patients

Locations

2594 Trailridge Dr E
Lafayette, CO 80026
Phone (303) 449-7740

2594 Trailridge Dr E
Ste A
Lafayette, CO 80026
Phone (303) 449-7740

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1467834077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2594 TRAILRIDGE DR E",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800263186",
            "telephone_number": "303-449-7740",
            "fax_number": "303-604-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2594 TRAILRIDGE DR E",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800263186",
            "telephone_number": "303-449-7740",
            "fax_number": "303-604-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CADE",
        "first_name": "KRISTINA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-19",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "TL.0005657",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0068761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

Verify at the official NPI Registry.