Organization Active NPI

Tree of Life Integrative Health Inc

  • Primary Care Nurse Practitioner
  • Longmont, CO
National Provider Identifier
1841798535
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
TREE OF LIFE INTEGRATIVE HEALTH INC
Practice address
310 Judson St
Longmont, CO 80501-4815
Phone
(720) 429-5748
NPI assigned
Jan 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

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

Authorized official

Name
Mrs. Kymbre Sands Governson, FNP
Title
Nurse Practitioner
Phone
(720) 429-5748

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

310 Judson St
Longmont, CO 80501-4815

Mailing address

310 Judson St
Longmont, CO 80501-4815
Phone (720) 429-5748

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561075200000",
    "number": "1841798535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 JUDSON ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805014815",
            "telephone_number": "720-429-5748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 JUDSON ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805014815",
            "telephone_number": "720-429-5748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREE OF LIFE INTEGRATIVE HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-26",
        "last_updated": "2019-06-21",
        "status": "A",
        "authorized_official_last_name": "GOVERNSON",
        "authorized_official_first_name": "KYMBRE",
        "authorized_official_middle_name": "SANDS",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "720-429-5748",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; 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.