Active NPI
Tamara Taibi, MSW
- Case Manager/Care Coordinator
- Pueblo, CO
National Provider Identifier
1023439551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1301 E 7TH St
Pueblo, CO 81001 - Phone
- (719) 543-8711
- Fax
- (719) 543-0171
- NPI assigned
- Dec 31, 2013
- Last updated
- Apr 7, 2022
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | NU | ||
| Case Manager/Care Coordinator | 171M00000X | NU | Primary |
Addresses
Primary practice location
1301 E 7TH St
Pueblo, CO 81001
Mailing address
110 E Routt Ave
Pueblo, CO 81004-2117
Phone (719) 543-8718
Other names 1
- Tamara Gideon
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)
- Not enrolled
Interoperability endpoints
- tamara.taibi.p1@direct.pueblochc.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649289600000",
"number": "1023439551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 E ROUTT AVE",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810042117",
"telephone_number": "719-543-8718",
"fax_number": "719-585-3057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 E 7TH ST",
"city": "PUEBLO",
"state": "CO",
"postal_code": "81001",
"telephone_number": "719-543-8711",
"fax_number": "719-543-0171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAIBI",
"first_name": "TAMARA",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-31",
"last_updated": "2022-04-07",
"certification_date": "2022-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TAMARA",
"last_name": "GIDEON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.