NPIMap

Individual provider Active NPI

Kathleen R Maguire, PA-C

  • Medical Physician Assistant
  • Fort Collins, CO
National Provider Identifier
1710005475
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
830 Issued in CO
Practice address
2627 Redwing Rd Ste 300
Fort Collins, CO 80526-6310
Phone
(970) 631-8650
NPI assigned
Mar 27, 2007
Last updated
Mar 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 830 CO Primary

Addresses

Primary practice location

2627 Redwing Rd Ste 300
Fort Collins, CO 80526-6310

Mailing address

2627 Redwing Rd Ste 300
Fort Collins, CO 80526-6310
Phone (970) 631-8650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060302000575 CO Practitioner - Physician Assistant 4880600642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Complete Wellness Familly Medicine PLLCGroup PAC ID 7214395656, 2 clinicians

Practice addresses (Care Compare)

2627 Redwing Rd
Suite 300
Fort Collins, CO 80526-6310
Phone (970) 631-8650

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
830COMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: katha.maguire.1@27163.direct.athenahealth.com
  • Direct secure messaging: katha.maguire.p1@direct.rockymtnfamilyphys.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1710005475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 REDWING RD STE 300",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266310",
            "telephone_number": "970-631-8650",
            "fax_number": "970-672-8137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 REDWING RD STE 300",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266310",
            "telephone_number": "970-631-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGUIRE",
        "first_name": "KATHLEEN",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.