Individual provider Active NPI

Kathryn Echols, M.D.

  • Dermatology Physician
  • Salida, CO
National Provider Identifier
1629334594
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
DR57799 Issued in CO
Practice address
925 Rush Dr
Salida, CO 81201-9665
Phone
(719) 539-4600
NPI assigned
Apr 5, 2012
Reactivated
Oct 8, 2018
Last updated
Nov 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X DR57799 CO
Dermatopathology Physician 207ND0900X DR57799 CO
Procedural Dermatology Physician 207NS0135X DR57799 CO
Dermatology Physician 207N00000X DR57799 CO Primary

Addresses

Primary practice location

925 Rush Dr
Salida, CO 81201-9665

Mailing address

PO Box 849
Salida, CO 81201-0849
Phone (719) 539-4600

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
I20170613001130 CO Practitioner - Dermatology 0143519918 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35828SCMDNutrition Support Pharmacist
DR57799COMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salida Hospital District CurrentSince Jun 1, 2022 Accepting new patients
Salida Hospital District Current Accepting new patients
St. Vincent General Hospital District CurrentSince Aug 17, 2021 Accepting new patients
St. Vincent General Hospital District CurrentSince Aug 17, 2021 Accepting new patients
Valley Citizens' Foundation for Health Care Inc Current Accepting new patients
Salida Hospital District CurrentSince Jun 1, 2022 Accepting new patients
Valley Citizens' Foundation for Health Care Inc Current Accepting new patients
Salida Hospital District Current Accepting new patients

Locations

310 County Road 14
Del Norte, CO 81132
Phone (719) 657-2510

816 W 4th St
Leadville, CO 80461
Phone (719) 221-0660

550 W US Highway 50
Salida, CO 81201
Phone (719) 530-2014

1000 Rush Dr
Salida, CO 81201
Phone (719) 530-2477

Organizations & group practices 8

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": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1629334594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 849",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812010849",
            "telephone_number": "719-539-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 RUSH DR",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812019665",
            "telephone_number": "719-539-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHOLS",
        "first_name": "KATHRYN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-05",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "deactivation_date": "2018-10-01",
        "reactivation_date": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CO",
            "license": "DR57799",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "CO",
            "license": "DR57799",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CO",
            "license": "DR57799",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "DR57799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salida, CO

Sources for this page

Verify at the official NPI Registry.