Individual provider Active NPI

Catrin Tabor Gagne, DNP, CPNP-PC

  • Pediatric Nurse Practitioner
  • Golden, CO
National Provider Identifier
1518722479
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APN.0999540-NP Issued in CO
Practice address
2801 Youngfield St Ste 120
Golden, CO 80401-0208
Phone
(832) 586-6772
NPI assigned
Feb 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Intensive Care Registered Nurse 163WN0002X 1644815 CO
Pediatric Nurse Practitioner 363LP0200X APN.0999540-NP CO Primary

Addresses

Primary practice location

2801 Youngfield St Ste 120
Golden, CO 80401-0208

Mailing address

2801 Youngfield St Ste 120
Golden, CO 80401-0208
Phone (720) 807-4304

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240510003311 CO Practitioner - Nurse Practitioner 6901247741

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1644815COMDNeonatal Intensive Care Registered Nurse
APN.0999540-NPCOMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Care Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: catrin.gagne.1@25401.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25401/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1518722479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 YOUNGFIELD ST STE 120",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804010208",
            "telephone_number": "720-807-4304",
            "fax_number": "833-771-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 YOUNGFIELD ST STE 120",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804010208",
            "telephone_number": "832-586-6772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGNE",
        "first_name": "CATRIN",
        "middle_name": "TABOR",
        "name_prefix": "Mrs.",
        "credential": "DNP, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-19",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "CO",
            "license": "1644815",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CO",
            "license": "APN.0999540-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

Verify at the official NPI Registry.