Individual provider Active NPI

Nancy J McDermott, M.D.

  • Pediatrics Physician
  • Parker, CO
National Provider Identifier
1699735274
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME0051269 Issued in FL
Practice address
9397 Crown Crest Blvd Ste 330
Parker, CO 80138-8788
Phone
(303) 699-6200
Fax
(303) 805-7034
NPI assigned
Mar 27, 2006
Sex
Female
Sole proprietor
No

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME0051269 FL Primary

Addresses

Primary practice location

9397 Crown Crest Blvd Ste 330
Parker, CO 80138-8788

Mailing address

3300 S Parker Rd Ste 404
Aurora, CO 80014-3529
Phone (720) 974-7149

Other practice location 1

2373 Central Park Blvd Unit 202
Denver, CO 80238-2300
Phone (303) 699-6200

Other practice location 2

1300 S Potomac St Ste 156
Aurora, CO 80012-4526
Phone (303) 699-6200

Other practice location 3

5657 S Himalaya St Ste 100
Centennial, CO 80015-5308
Phone (303) 699-6200

Other identifiers 1

IdentifierTypeStateIssuer
35534826MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0051269FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Pediatric Associates, LLP Pediatrics PastSince Oct 19, 2020 Accepting new patients
Aurora Pediatric Associates, LLP Pediatrics Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1699735274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S PARKER RD STE 404",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143529",
            "telephone_number": "720-974-7149",
            "fax_number": "720-974-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9397 CROWN CREST BLVD STE 330",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388788",
            "telephone_number": "303-699-6200",
            "fax_number": "303-805-7034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2373 Central Park Blvd Unit 202",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802382300",
            "country_code": "US",
            "telephone_number": "303-699-6200",
            "fax_number": "720-974-9811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 S Potomac St Ste 156",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800124526",
            "country_code": "US",
            "telephone_number": "303-699-6200",
            "fax_number": "303-338-9811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5657 S Himalaya St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Centennial",
            "state": "CO",
            "postal_code": "800155308",
            "country_code": "US",
            "telephone_number": "303-699-6200",
            "fax_number": "720-460-4783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "NANCY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0051269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35534826",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.