Teresa Rebibo Fox, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

41031 Issued in CO

Practice address

4840 Riverbend Rd
100
Boulder, CO 80301-2659

Phone

(303) 601-4222

NPI assigned

Mar 30, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Teresa Lynn Rebibo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jun 25, 2015 through Jun 25, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422230400000",
    "number": "1871735381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4840 RIVERBEND RD",
            "address_2": "100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012659",
            "telephone_number": "303-601-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4840 RIVERBEND RD",
            "address_2": "100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012659",
            "telephone_number": "303-601-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBIBO FOX",
        "first_name": "TERESA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-30",
        "last_updated": "2015-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CO",
            "license": "41031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65158253",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "REBIBO",
            "middle_name": "LYNN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole Marie Reavy, LPC
• David Michael Rebber, D.D.S.
• Rebecca Hoyt LCSW
• Rebecca Kelso Counseling PLLC
• Rebecca Prolman Therapy, LLC
• Desiree Martinez Reck, RN
• Reclaim Therapy LLC
• Lindsay Jane Records, OTR/L, OTD
• Recover Resource Center
• James B Rector, M.D.

• General Practice Physician in Boulder, CO
• Providers in Boulder, CO by specialty
• General Practice Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.