Individual provider Active NPI

Katherine Louise Drapeau, DO

  • Occupational Medicine Physician
  • Black Hawk, CO
National Provider Identifier
1477639979
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
DR.0027765 Issued in CO
Practice address
562 Gregory St.
Black Hawk, CO 80422-0066
Phone
(970) 945-2840
Fax
(303) 582-1003
NPI assigned
Oct 27, 2006
Last updated
Aug 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 27765 CO
Occupational Medicine Physician 2083X0100X DR.0027765 CO Primary

Addresses

Primary practice location

562 Gregory St.
Black Hawk, CO 80422-0066

Mailing address

PO Box 9
20 E. Lakeview Dr. Suite 109
Nederland, CO 80466-0009
Phone (970) 945-2840

Other identifiers 1

IdentifierTypeStateIssuer
01277656MedicaidCO

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
I20070227000238 CO Practitioner - Preventive MedicinePractitioner - Family Practice 0143322818 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27765COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC Family Medicine CurrentSince Mar 10, 2024 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Mar 10, 2024 Accepting new patients

Locations

500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021

8550 W 38th Ave
Ste 100
Wheat Ridge, CO 80033
Phone (303) 467-4100

Organizations & group practices 2

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1477639979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "address_2": "20 E. LAKEVIEW DR. SUITE 109",
            "city": "NEDERLAND",
            "state": "CO",
            "postal_code": "804660009",
            "telephone_number": "970-945-2840",
            "fax_number": "303-258-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 GREGORY ST.",
            "city": "BLACK HAWK",
            "state": "CO",
            "postal_code": "804220066",
            "telephone_number": "970-945-2840",
            "fax_number": "303-582-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAPEAU",
        "first_name": "KATHERINE",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "27765",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CO",
            "license": "DR.0027765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01277656",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Black Hawk, CO

Sources for this page

Verify at the official NPI Registry.