Bethany Paj Tsis Thawj Xiong-Koon

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

TL.0011613 Issued in CO

Practice address

1600 23Rd Ave
Greeley, CO 80634-6070

Phone

(303) 929-3768

NPI assigned

Jun 10, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Bethany Paj Tsis Thawj Xiong Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1781049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1053245324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2639 W 104TH CT",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802343509",
            "telephone_number": "303-929-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 23RD AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806346070",
            "telephone_number": "303-929-3768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XIONG-KOON",
        "first_name": "BETHANY",
        "middle_name": "PAJ TSIS THAWJ",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-10",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CO",
            "license": "TL.0011613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "XIONG",
            "middle_name": "PAJ TSIS THAWJ",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jason Edward Wright
• Warren Wright, O.T.
• Zachary Neil Wright, MD
• Katherine Annie Wyant Noud, LPN
• Rebecca Wyperd
• Xtra Special Home Care
• Cade Ryuji Yamamoto, PT, DPT
• Ann Yancey, LPC
• Anna Yanchek, DPT, PT
• Ariana Yanez

• Student in an Organized Health Care Education/Training Program in Greeley, CO
• Providers in Greeley, CO by specialty
• Student in an Organized Health Care Education/Training Program in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.