TREE OF LIFE INTEGRATIVE HEALTH INC (NPI# 1841798535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841798535 |
| Entity Type | Organization |
| Organization Name | TREE OF LIFE INTEGRATIVE HEALTH INC |
| Practice Address |
310 Judson St Longmont CO 80501-4815 |
| Practice Telephone | 7204295748 |
| Mailing Telephone | 7204295748 |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2019-06-21 |
| Authorized Official Name | MRS. KYMBRE SANDS GOVERNSON (NURSE PRACTITIONER) |
| Authorized Official Telephone | 7204295748 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
310 JUDSON ST |
| City | LONGMONT |
| State | CO |
| Zip Code | 80501-4815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376774 | Boulder County Public Health | Public Health or Welfare | 515 Coffman Street, Suite 200, Longmont, CO 80501 | 2020-08-12 |
| 1164032827 | Kidstuff Child and Family Counseling, P.C. | Marriage & Family Therapist | 360 15th Ave, Ste. 104, Longmont, CO 80501 | 2020-08-06 |
| 1861036501 | Stateserv Medical of Colorado | Durable Medical Equipment & Medical Supplies | 63 South Pratt Pkwy, Landmont, CO 80501 | 2019-11-06 |
| 1558915090 | Array Clinical and Therapeutic Services | Assistant Behavior Analyst | 451 21st Ave. Suite B, Longmont, CO 80501 | 2019-08-01 |
| 1275195042 | Alisa Marie Schwegerl | Speech-Language Pathologist | 1800 Stroh Place, Longmont, CO 80501 | 2019-07-02 |
| 1295298545 | Jovahna Pena | Counselor | Behavioral Health Group, 850 23rd Ave Unit A, Longmont, CO 80501 | 2019-04-12 |
| 1659845568 | University Physicians Incorporated | Advanced Practice Midwife | 2030 Mountain View Ave Ste 400, Longmont, CO 80501 | 2019-01-14 |
| 1013404714 | Crafted Physical Therapy Pllc | Physical Therapist | 701 Delaware Ave Unit E, Longmont, CO 80501 | 2018-04-18 |
| 1588110860 | Randall Bonnom | Counselor | 420 21st Ave #113, Longmont, CO 80501 | 2016-08-28 |
| 1225401771 | Sowash Optometry Group, PC | Eyewear Supplier (Equipment, not the service) | 1242 S. Hover Street, Suite C200, Longmont, CO 80501 | 2015-11-05 |
| Find all providers in zip 80501 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427185479 | Elizabeth Mcnally-pane | Nurse Practitioner | 2345 Bent Way, Longmont, CO 80503-7614 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679519 | Amanda Winter | Nurse Practitioner | 17657 Road 27.7, Dolores, CO 81323-8605 | 2020-11-05 |
| 1568078707 | William Glenn Vause | Nurse Practitioner | 1625 S Iola St Apt 107, Aurora, CO 80012-4087 | 2020-09-22 |
| 1215547286 | Kimberly Frances Vialpando | Nurse Practitioner | 216 S 11th St, Colorado Springs, CO 80904-4300 | 2020-08-05 |
| 1881204071 | Annette K Johnson | Nurse Practitioner | 13975 W Layton Cir, Morrison, CO 80465-1071 | 2020-08-03 |
| 1194333195 | Kaitlin Kraus | Nurse Practitioner | 820 N Sherman St Apt 213, Denver, CO 80203-2975 | 2020-07-16 |
| 1386262871 | Catherine Fenster | Nurse Practitioner | 305 Prospector Ave, Durango, CO 81301-7954 | 2020-07-10 |
| 1487291233 | Next Door Health Care | Nurse Practitioner | 190 S 1st St Unit A, Bennett, CO 80102-7899 | 2019-11-27 |
| 1255981122 | Mary Jeal Carrasco | Nurse Practitioner | 6850 E Evans Ave Ste 102, Denver, CO 80224-2300 | 2019-09-12 |
| 1871057620 | Marion Eleanor Toll | Nurse Practitioner | 1025 Garfield St Ste B, Fort Collins, CO 80524-3930 | 2019-01-25 |
| 1225534860 | Elizabeth Faye Kirt | Nurse Practitioner | 924 Oak St., Steamboat Springs, CO 80487 | 2018-04-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.