Tasha Marie Koedam, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN.0990832-NP Issued in CO

Practice address

10259 South Parker Road
Parker, CO 80134

Phone

(303) 805-2273

NPI assigned

Aug 27, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chrmeg Med Inc

  • Family Medicine Physician
  • Parker, CO
  • NPI 1629199062
  Medicare reassignment NPD

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377561600000",
    "number": "1376977314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3722 SOUTH MALTA STREET",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10259 SOUTH PARKER ROAD",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "80134",
            "telephone_number": "303-805-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEDAM",
        "first_name": "TASHA",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-27",
        "last_updated": "2013-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0990832-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Knudtson, M.D.
• Lauren Lagro Knuth
• Patricia Knutson, LPC
• Jamie Anne Koch, AUD
• Vinitha Kodali, PT, DPT
• Renee Koehler, NP
• Jeffrey David Kofmehl, PHARMD
• Kristen Lee Kofoed, LPC
• Michele Kohl, DPT
• Jeffrey John Kohnke, LCSW

• Family Nurse Practitioner in Parker, CO
• Providers in Parker, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.