Active NPI
Tara Marie Sidiq Christensen, CSFA
- Surgical Assistant
- Pueblo West, CO
National Provider Identifier
1194569335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 189458
- Practice address
- 899 E Industrial Blvd
Pueblo West, CO 81007-1442 - Phone
- (719) 288-2135
- NPI assigned
- Jun 22, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 189458 | CO | Primary |
Addresses
Primary practice location
899 E Industrial Blvd
Pueblo West, CO 81007-1442
Mailing address
921 W 16TH St
Pueblo, CO 81003-4011
Phone (719) 696-4483
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 |
|---|---|---|---|
| 189458 | CO | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746748800000",
"number": "1194569335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 W 16TH ST",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810034011",
"telephone_number": "719-696-4483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "899 E INDUSTRIAL BLVD",
"city": "PUEBLO WEST",
"state": "CO",
"postal_code": "810071442",
"telephone_number": "719-288-2135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTENSEN",
"first_name": "TARA",
"middle_name": "MARIE SIDIQ",
"credential": "CSFA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-22",
"last_updated": "2025-05-09",
"certification_date": "2025-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "CO",
"license": "189458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pueblo West, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.