Active NPI
Katya Eve Strage, MD
- Student in an Organized Health Care Education/Training Program
- Aurora, CO
National Provider Identifier
1932768082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 12631 E 17TH Ave # 4602
Aurora, CO 80045-2527 - Phone
- (203) 644-7073
- NPI assigned
- Jun 12, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | 696785 | TX |
Addresses
Primary practice location
12631 E 17TH Ave # 4602
Aurora, CO 80045-2527
Mailing address
12631 E 17TH Ave # 4602
Aurora, CO 80045-2527
Phone (203) 644-7073
Other practice location 1
5939 Harry Hines Blvd Ste 300
Dallas, TX 75235-6262
Phone (203) 644-7073
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
| License | State | Type | Specialty |
|---|---|---|---|
| 696785 | TX | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital Colorado | Current | Accepting new patients |
Interoperability endpoints
- kstrage234543@direct.childrenscolorado.org
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 and National Provider Directory roles.
-
- Clinical Social Worker
- Aurora, CO
- NPI 1174282776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618185600000",
"number": "1932768082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12631 E 17TH AVE # 4602",
"city": "AURORA",
"state": "CO",
"postal_code": "800452527",
"telephone_number": "203-644-7073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12631 E 17TH AVE # 4602",
"city": "AURORA",
"state": "CO",
"postal_code": "800452527",
"telephone_number": "203-644-7073"
}
],
"practiceLocations": [
{
"address_1": "5939 Harry Hines Blvd Ste 300",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752356262",
"country_code": "US",
"telephone_number": "203-644-7073",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STRAGE",
"first_name": "KATYA",
"middle_name": "EVE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-12",
"last_updated": "2021-04-12",
"certification_date": "2021-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": "696785",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.