Individual provider Active NPI

Cathy McCurdy, PAC

  • Physician Assistant
  • Monte Vista, CO
National Provider Identifier
1881684785
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
87 Issued in CO
Practice address
103 Chico CT
Monte Vista, CO 81144-1065
Phone
(719) 852-9400
Fax
(719) 852-9311
NPI assigned
Oct 24, 2005
Last updated
May 3, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 87 CO Primary

Addresses

Primary practice location

103 Chico CT
Monte Vista, CO 81144-1065

Mailing address

106 Blanca Ave
Alamosa, CO 81101-2340
Phone (719) 589-2511

Other identifiers 1

IdentifierTypeStateIssuer
76823229MedicaidCO

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041207001173 CO Practitioner - Physician Assistant 9830155233 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
87COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Hospital Association of the San Luis Valley CurrentSince Mar 5, 2012 Accepting new patients
Lutheran Hospital Association of the San Luis Valley CurrentSince Mar 5, 2012 Accepting new patients
Lutheran Hospital Association of the San Luis Valley Physician Assistant CurrentSince Mar 5, 2012 Accepting new patients
Valley-Wide Health Systems, Inc. Past Accepting new patients
Lutheran Hospital Association of the San Luis Valley Past Accepting new patients

Locations

106 Blanca Ave
Alamosa, CO 81101
Phone (719) 589-2511

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

103 Chico Ct
Monte Vista, CO 81144
Phone (719) 852-9400

Organizations & group practices 5

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": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336003200000",
    "number": "1881684785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 BLANCA AVE",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811012340",
            "telephone_number": "719-589-2511",
            "fax_number": "719-587-1372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CHICO CT",
            "city": "MONTE VISTA",
            "state": "CO",
            "postal_code": "811441065",
            "telephone_number": "719-852-9400",
            "fax_number": "719-852-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCURDY",
        "first_name": "CATHY",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-24",
        "last_updated": "2012-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "87",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "76823229",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monte Vista, CO

Sources for this page

Verify at the official NPI Registry.