Active NPI
Tiffany Ann Kobordo, ATC, OTC
- Orthopedic Assistant
- Vail, CO
National Provider Identifier
1124485537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Assistant
- License
- 15-1138
- Practice address
- 181 W Meadow Dr Ste 400
Vail, CO 81657-5058 - Phone
- (970) 476-2451
- NPI assigned
- Jan 15, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | SA.0002071 | CO | |
| Orthopedic Assistant | 246ZX2200X | 15-1138 | Primary |
Addresses
Primary practice location
181 W Meadow Dr Ste 400
Vail, CO 81657-5058
Mailing address
PO Box 6042
Avon, CO 81620-6042
Phone (610) 751-5912
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA.0002071 | CO | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452816000000",
"number": "1124485537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6042",
"city": "AVON",
"state": "CO",
"postal_code": "816206042",
"telephone_number": "610-751-5912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 W MEADOW DR STE 400",
"city": "VAIL",
"state": "CO",
"postal_code": "816575058",
"telephone_number": "970-476-2451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOBORDO",
"first_name": "TIFFANY",
"middle_name": "ANN",
"credential": "ATC, OTC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-15",
"last_updated": "2016-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "CO",
"license": "SA.0002071",
"primary": false
},
{
"code": "246ZX2200X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Orthopedic Assistant",
"state": null,
"license": "15-1138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vail, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.