Active NPI
Tina Michael
- Acute Care Nurse Practitioner
- Thornton, CO
National Provider Identifier
1780254490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 0997054
- Practice address
- 9195 Grant St Ste 210
Thornton, CO 80229-4386 - Phone
- (303) 720-0309
- NPI assigned
- Jun 26, 2021
- Last updated
- Sep 17, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 0997054 | CO | Primary |
Addresses
Primary practice location
9195 Grant St Ste 210
Thornton, CO 80229-4386
Mailing address
9195 Grant St Ste 210
Thornton, CO 80229-4386
Phone (303) 720-0309
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9195 Grant St
Suite 210
Thornton, CO 80229-4386
Phone (800) 736-9466
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN.0997054-NP | CO | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Och Infusion Centers Colorado, LLC | Single Specialty | Current | Accepting new patients |
Locations
9195 Grant St
Ste 210
Thornton, CO 80229
Phone (800) 736-9466
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789603200000",
"number": "1780254490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9195 GRANT ST STE 210",
"city": "THORNTON",
"state": "CO",
"postal_code": "802294386",
"telephone_number": "303-720-0309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9195 GRANT ST STE 210",
"city": "THORNTON",
"state": "CO",
"postal_code": "802294386",
"telephone_number": "303-720-0309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAEL",
"first_name": "TINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-26",
"last_updated": "2026-09-17",
"certification_date": "2026-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CO",
"license": "0997054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thornton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.