Muluneh Mekuanent Tizazu

Primary specialty

DriverTaxonomy code 172A00000X

License

071210632 Issued in CO

Practice address

1420 Moline St Apt 306
Aurora, CO 80010-3628

Phone

(720) 231-2805

NPI assigned

Apr 27, 2023

Last updated

Apr 27, 2023By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pick Ride LLC

  dba pick ride

  • Non-emergency Medical Transport (VAN)
  • Colorado Springs, CO
  • NPI 1417645359

  Driver

  NPD Authorized official

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1639867567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6165 LEHMAN DR STE 203-7",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183441",
            "telephone_number": "720-231-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 MOLINE ST APT 306",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800103628",
            "telephone_number": "720-231-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIZAZU",
        "first_name": "MULUNEH",
        "middle_name": "MEKUANENT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "CO",
            "license": "071210632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Thomas Tipps, M.D., J.D.
• Amra Tipura, PHARMD
• Tira Ride LLC
• Tissue Genetics, Inc
• Benjamin Ralph Titus, MD
• TL Agapecare Limited Liability Company
• Karina Alejandra Tlaxcala-Hernandez, PA
• Sarah Tlustos-Carter, PHD
• TM Shalom Transportation LLC (TM Shalom Transportation)
• TMS Therapy Centers of Colorado LLC

• Driver in Aurora, CO
• Providers in Aurora, CO by specialty
• Driver in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.