Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kathryn McCullough

Individual provider Nurse Practitioner · NPI 1205452141

Kathryn McCullough is a Nurse Practitioner in Grand Junction, Colorado. Qualified in 2019, 7 years ago. Practices with Intermountain Medical Group Grand Junction, LLC, a 299-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
7
Licensed in
CO
In the registry since
2020
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Practice location Address checks out

2454 Hwy 6 And 50 Ste 104
Grand Junction, CO 81505-1117
Phone: (970) 644-9900
Fax: (970) 773-5937
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2535 S Downing St, Denver, CO 80210-5847 — (303) 778-5797
  • 1253 S Flower Cir Apt A, Lakewood, CO 80232-2025 — (303) 525-3221

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 0995228-NP (CO)

Record details

NPI number1205452141
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 16, 2020
Last updated in NPPESDecember 2, 2020
Certification dateDecember 2, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Intermountain Medical Group Grand Junction, Llc — 299 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Grand Junction