Active NPI
Tara Rechtenbaugh
- Adult Medicine Physician
- Englewood, CO
National Provider Identifier
1508527763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- APN.0997251
- Practice address
- 169 Inverness Dr W Ste 400
Englewood, CO 80112-5072 - Phone
- (970) 373-8095
- NPI assigned
- Jan 10, 2022
- Last updated
- Jan 10, 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 |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | APN.0997251 | CO | Primary |
Addresses
Primary practice location
169 Inverness Dr W Ste 400
Englewood, CO 80112-5072
Mailing address
16742 Rinker Way
Broomfield, CO 80023-4684
Phone (303) 727-0615
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN.0997251 | CO | MD | Adult Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641772800000",
"number": "1508527763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16742 RINKER WAY",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800234684",
"telephone_number": "303-727-0615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 INVERNESS DR W STE 400",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801125072",
"telephone_number": "970-373-8095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RECHTENBAUGH",
"first_name": "TARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-10",
"last_updated": "2022-01-10",
"certification_date": "2022-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "CO",
"license": "APN.0997251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.