Individual provider Active NPI

Carolyn L Tillquist

  • Infectious Disease Physician
  • Denver, CO
National Provider Identifier
1831165117
Registry record updated Jul 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
34054 Issued in CO
Practice address
950 E Harvard Ave Ste 140
Denver, CO 80210-7007
Phone
(303) 777-0781
Fax
(303) 777-0786
NPI assigned
Feb 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 34054 CO Primary

Addresses

Primary practice location

950 E Harvard Ave Ste 140
Denver, CO 80210-7007

Mailing address

950 E Harvard Ave Ste 140
Denver, CO 80210-7007
Phone (303) 777-0781

Other identifiers 1

IdentifierTypeStateIssuer
01310549MedicaidCO

Other names 1

  • Carolyn E Lombardi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374192000000",
    "number": "1831165117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 E HARVARD AVE STE 140",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802107007",
            "telephone_number": "303-777-0781",
            "fax_number": "303-777-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 E HARVARD AVE STE 140",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802107007",
            "telephone_number": "303-777-0781",
            "fax_number": "303-777-0786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLQUIST",
        "first_name": "CAROLYN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2013-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CO",
            "license": "34054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01310549",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "LOMBARDI",
            "middle_name": "E",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2013; 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.