Active NPI
Tina DO
- Gastroenterology Registered Nurse
- Lafayette, CO
National Provider Identifier
1205581063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Registered Nurse
- License
- RN.1663752
- Practice address
- 280 Exempla Cir
Lafayette, CO 80026-3370 - Phone
- (303) 338-4545
- NPI assigned
- Feb 19, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Registered Nurse | 163WG0100X | RN.1663752 | CO | Primary |
Addresses
Primary practice location
280 Exempla Cir
Lafayette, CO 80026-3370
Mailing address
4730 W 117TH Way
Westminster, CO 80031-7845
Phone (720) 468-2990
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 |
|---|---|---|---|
| RN.1663752 | CO | MD | Gastroenterology Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645228800000",
"number": "1205581063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4730 W 117TH WAY",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "800317845",
"telephone_number": "720-468-2990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 EXEMPLA CIR",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800263370",
"telephone_number": "303-338-4545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DO",
"first_name": "TINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-19",
"last_updated": "2022-02-19",
"certification_date": "2022-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Gastroenterology",
"state": "CO",
"license": "RN.1663752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.