Theodore O Tindall, MSN, FNP, NP-C, CFRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN.0993280-NP Issued in CO

Practice address

20270 E Smoky Hill Rd
Centennial, CO 80015-3138

Phone

(720) 386-0729

NPI assigned

Feb 16, 2019

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: theodore.tindall.1@30620.direct.athenahealth.com

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

{
    "created_epoch": "1550275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550275200000",
    "number": "1467918268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 UINTA WAY UNIT 104",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307170",
            "telephone_number": "303-906-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20270 E SMOKY HILL RD",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800153138",
            "telephone_number": "720-386-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINDALL",
        "first_name": "THEODORE",
        "middle_name": "O",
        "name_prefix": "Mr.",
        "credential": "MSN, FNP, NP-C, CFRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-16",
        "last_updated": "2019-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0993280-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Tickton
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• Jennifer N Tiehen, M.D.
• Tiffany D. Koenen, LCSW, LLC
• Tiny Talkers, LLC
• Faith Tjoe-a-Long, OD
• TLC Companions
• TLC Meals on Wheels
• TLN Professional Services PLLC

• Family Nurse Practitioner in Centennial, CO
• Providers in Centennial, 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 Feb 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.