Cathy Costlow McDonald, R.N.

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

R2190 Issued in TX

Practice address

1400A E 20TH St
Exceptional Programs Office
Farmington, NM 87401-9024

Phone

(505) 599-8762

Fax

(505) 599-8796

NPI assigned

Oct 12, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476316800000",
    "number": "1740730803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400A E 20TH ST",
            "address_2": "EXCEPTIONAL PROGRAMS OFFICE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874019024",
            "telephone_number": "505-599-8762",
            "fax_number": "505-599-8796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400A E 20TH ST",
            "address_2": "EXCEPTIONAL PROGRAMS OFFICE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874019024",
            "telephone_number": "505-599-8762",
            "fax_number": "505-599-8796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "CATHY",
        "middle_name": "COSTLOW",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-12",
        "last_updated": "2016-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "TX",
            "license": "R2190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "R25190",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denita Lynn McCoy, CNP
• David W McCray, M.D.
• Katherine Rebecca McCrea, MS, APN
• Allen Wilson McCulloch, MD
• Jude Lee McDaniel
• Kristin McDonald
• Adrielle McFarland
• Jacqueline S McFarland
• Harold Kent McFarling, D.O.
• Susanna Joy McGee

• Administrator Registered Nurse in Farmington, NM
• Providers in Farmington, NM by specialty
• Administrator Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; 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.