Active NPI
Katherine Suzanne McCrea, M.D.
- Family Medicine Physician
- Durango, CO
National Provider Identifier
1689995755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DR.0051649
- Practice address
- 810 E 3Rd St
Ste 201
Durango, CO 81301-5759 - Phone
- (970) 764-1790
- Fax
- (970) 375-7927
- NPI assigned
- Jun 11, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DR.0051649 | CO | Primary |
Addresses
Primary practice location
810 E 3Rd St
Ste 201
Durango, CO 81301-5759
Mailing address
810 E 3Rd St
Ste 201
Durango, CO 81301-5759
Phone (970) 764-1790
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60971240 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 16, 2021 through Apr 16, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0051649 | CO | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507593600000",
"number": "1689995755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 E 3RD ST",
"address_2": "STE 201",
"city": "DURANGO",
"state": "CO",
"postal_code": "813015759",
"telephone_number": "970-764-1790",
"fax_number": "970-375-7927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 E 3RD ST",
"address_2": "STE 201",
"city": "DURANGO",
"state": "CO",
"postal_code": "813015759",
"telephone_number": "970-764-1790",
"fax_number": "970-375-7927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCREA",
"first_name": "KATHERINE",
"middle_name": "SUZANNE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-11",
"last_updated": "2017-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "DR.0051649",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60971240",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Durango, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.