Loni Nichol Thalheimer
Individual provider Active NPI Registered Nurse · Timnath, CO
NPI 1679238752 · NPPES record last updated Nov 3, 2021
Key facts
- NPI
- 1679238752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 1625654 (CO)
- Practice address
- 5253 Homeward CT
Timnath, CO 80547-4442 - Phone
- (928) 853-9952
- NPI assigned
- Nov 3, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1625654 | CO | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1625654 | CO | Yes |
Addresses
Primary practice location
5253 Homeward CT
Timnath, CO 80547-4442
Mailing address
5253 Homeward CT
Timnath, CO 80547-4442
Phone (928) 853-9952
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | loni@thebodysapothecary.com | Direct |
Other providers in Timnath, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.