NPIMap

Individual provider Active NPI

Tamara Deanne Drees, NP

  • Nurse Practitioner
  • Lakewood, CO
National Provider Identifier
1609849090
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
104008 Issued in CO
Practice address
12081 W Alameda Pkwy
Primary Care NPS
Lakewood, CO 80228-2701
Phone
(303) 551-3643
Fax
(720) 328-9653
NPI assigned
Feb 8, 2006
Last updated
May 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 104008 CO Primary

Addresses

Primary practice location

12081 W Alameda Pkwy
Primary Care NPS
Lakewood, CO 80228-2701

Mailing address

13770 W Alaska PL
Lakewood, CO 80228-2426
Phone (303) 551-3643

Other identifiers 1

IdentifierTypeStateIssuer
67505538MedicaidCO

Other names 1

  • Tamara Sponsel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040901000672 CO Practitioner - Nurse Practitioner 6103891130 Reassigns benefits to 1 organization
I20150409001033 CO Practitioner - Nurse Practitioner 6103891130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

22 S Adams St
Denver, CO 80209-2908
Phone (303) 321-2452

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care NPS Inc CurrentSince Mar 6, 2015 Accepting new patients
Tamara Drees Inc PastSince Oct 1, 2007 Accepting new patients
Christopher Unrein DO PC Past Accepting new patients

Locations

12081 W Alameda Pkwy
Lakewood, CO 80228
Phone (303) 551-3643

Organizations & group practices 4

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

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430956800000",
    "number": "1609849090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13770 W ALASKA PL",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282426",
            "telephone_number": "303-551-3643",
            "fax_number": "720-328-9653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12081 W ALAMEDA PKWY",
            "address_2": "PRIMARY CARE NPS",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282701",
            "telephone_number": "303-551-3643",
            "fax_number": "720-328-9653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREES",
        "first_name": "TAMARA",
        "middle_name": "DEANNE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2015-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "104008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "67505538",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMARA",
            "last_name": "SPONSEL",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.