Axiom Integrative Health PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

AXIOM INTEGRATIVE HEALTH PC

Practice address

5657 S Himalaya St # 280
Centennial, CO 80015-5307

Phone

(720) 994-2966

NPI assigned

Jul 1, 2024

Organization subpart

No

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

Authorized official

Name

Tamara JohnsonNPI 1992739890

Title

Ceo

Phone

(308) 660-1634

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tamara R Johnson, MD

  • Family Medicine Physician
  • North Platte, NE
  • NPI 1992739890

  CO

  Medicare reassignment NPD Authorized official
• Jodi Rae Rodriguez, FNP-CB

  • Family Nurse Practitioner
  • Littleton, CO
  • NPI 1962154898
  Medicare reassignment NPD

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1114763000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5657 S HIMALAYA ST # 280",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800155307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5657 S HIMALAYA ST # 280",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800155307",
            "telephone_number": "720-994-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIOM INTEGRATIVE HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "308-660-1634"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Averch
• Adrienne E Avery, MA, LPC, RPT
• Christopher James Avery
• Aviv Denver LLC
• Axess Ims
• Axirium LLC
• Axis Clinical Diagnostics, LLC
• Axis Health and Wellness LLC
• Elsabet Ayalew
• Az Counseling

• Family Medicine Physician in Centennial, CO
• Providers in Centennial, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.