Michael Kent McDermid, AG-ACNP-BC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

APN.0992159-NP Issued in CO

Practice address

705 Marketplace PLZ Ste 200
Steamboat Springs, CO 80487-1841

Phone

(970) 879-6663

Fax

(970) 871-1234

NPI assigned

Jan 9, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Longmont Pulmonary and Critical Care Associates, PC

  • Pulmonary Disease Physician
  • Longmont, CO
  • NPI 1215028543
  NPD (past)
• Oak Street Health Physicians Group of Mississippi, LLC

  • Family Medicine Physician
  • Raymond, NH
  • NPI 1235754995
  NPD (past)

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

{
    "created_epoch": "1452297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1912363755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 880222",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804880222",
            "telephone_number": "303-917-4739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 MARKETPLACE PLZ STE 200",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804871841",
            "telephone_number": "970-879-6663",
            "fax_number": "970-871-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11600 W 2nd Pl",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802281527",
            "country_code": "US",
            "telephone_number": "720-321-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDERMID",
        "first_name": "MICHAEL",
        "middle_name": "KENT",
        "name_prefix": "Mr.",
        "credential": "AG-ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-09",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CO",
            "license": "APN.0992159-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan M McCallum Winters, OTR/L, CHT
• Marchele C. McCarthy, MA
• James William Walter McCreight, D.D.S.
• Wendy Marie McCreight, D.D.S.
• Kelley Brooke McDaneld, L.AC., DIPL.OM, B.S.
• Laurie L McFarland, M.A., CCC-SLP
• Nicole McGuffin, PSYD, LPC, BCN
• Ellen Audrey McGuinness, M.A.
• Jason Bernard McKown, PA
• Jessica McOuat, MA, CCC-SLP

• Acute Care Nurse Practitioner in Steamboat Springs, CO
• Providers in Steamboat Springs, CO by specialty
• Acute Care Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.