TYRONE KUNTA THIBOU (NPI# 1083257794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083257794 |
| Entity Type | Individual |
| Full Name | TYRONE KUNTA THIBOU |
| Practice Address |
4570 Hilton Pkwy Colorado Springs CO 80907-3551 |
| Mailing Address |
2015 E Van Buren St Apt 10 Colorado Springs CO 80909-1856 |
| Practice Telephone | 7193211643 |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2019-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
4570 HILTON PKWY |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80907-3551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467997098 | Emily Finomore | Counselor | 4570 Hilton Pkwy, Suite 202 D, Colorado Springs, CO 80907-3551 | 2017-01-05 |
| 1376172148 | Abigail Esparza Solis | Peer Specialist | 4570 Hilton Pkwy, Colorado Springs, CO 80907-3551 | 2020-04-03 |
| 1912409244 | Mathew Beyak | Counselor | 4570 Hilton Pkwy, Colorado Springs, CO 80907-3551 | 2018-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871124057 | Margaret Elizabeth Macnabb | Occupational Therapist | 955 West Fillmore Street, Colorado Springs, CO 80907 | 2020-01-28 |
| 1598300394 | Eric L Peterson | Counselor | 4570 Hilton Pwky, Colorado Springs, CO 80907 | 2019-11-15 |
| 1669020160 | Vcphcs Xii, LLC | Clinic/Center | 4157-4159 Centennial Blvd, Colorado Springs, CO 80907 | 2019-08-28 |
| 1366907123 | Natural Healthcare, LLC | Chiropractor | 3030 N Hancock Ave Suite D, Colorado Springs, CO 80907 | 2019-02-06 |
| 1063981777 | Samuel Ray Porterfield | Social Worker | Pfc Floyd K. Lindstrom Outpatient Clinic, 3141 Centennial Blvd., Colorado Springs, CO 80907 | 2018-11-26 |
| 1982170114 | A Physicians Home Care | Home Health | 905 W Garden of The Gods Rd Suite F, Colorado Springs, CO 80907 | 2018-10-15 |
| 1689196180 | Reena Annetta Manka | Counselor | 888 Garden of The Gods, 150, Colorado Springs, CO 80907 | 2017-07-17 |
| 1356870356 | Solaris Hc Co Inc | Hospice Care, Community Based | 1045 Garden of Gods Rd, Colorado Springs, CO 80907 | 2017-06-05 |
| 1649704826 | Colorado Springs Urological Associates Pllc | Urology | 1644 Medical Center Point, Suite 200, Colorado Springs, CO 80907 | 2017-04-14 |
| 1194274704 | Sarah Lynn Hartman | Dietitian, Registered | 3207 North Academy Blvd, Colorado, CO 80907 | 2016-09-23 |
| Find all providers in zip 80907 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649620691 | Rebecca Shields | Peer Specialist | 2554 Palmer Park Blvd, Colorado Springs, CO 80909-3058 | 2016-06-20 |
| 1376172148 | Abigail Esparza Solis | Peer Specialist | 4570 Hilton Pkwy, Colorado Springs, CO 80907-3551 | 2020-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932739679 | Melissa L Lucero | Peer Specialist | 222 23rd Ave, Greeley, CO 80631-1854 | 2020-01-22 |
| 1497395743 | Marcia Martinez | Peer Specialist | 1700 N 17th Ave, Greeley, CO 80631 | 2020-01-14 |
| 1477194454 | Ronna Jo Wellman | Peer Specialist | 8110 River Run Dr, Greeley, CO 80634-9389 | 2019-10-01 |
| 1194288449 | Sara Christian Broughton | Peer Specialist | 360 Peak One Dr Ste 130, Frisco, CO 80443 | 2019-04-12 |
| 1093275299 | Atis Spuris | Peer Specialist | 360 Peak One Dr Ste 140, Frisco, CO 80443 | 2019-03-22 |
| 1871052993 | Laurie Ann Jones | Peer Specialist | 1025 14th St, Greeley, CO 80631-3866 | 2019-03-18 |
| 1588128326 | Robyn Stover | Peer Specialist | 1209 Tulip St, Longmont, CO 80501-3164 | 2019-01-25 |
| 1144702432 | Kylie Monson | Peer Specialist | 773 Calgary Way, Golden, CO 80401-9361 | 2018-09-04 |
| 1952882318 | Melody E Mesmer | Peer Specialist | 34 Van Gordon St Ste 210, Lakewood, CO 80228-1713 | 2018-08-23 |
| 1114432515 | Brittany Lauren Hoffman | Peer Specialist | 7703 W 55th Ave Apt 202, Arvada, CO 80002-3683 | 2017-12-06 |
| Find all providers with the same taxonomy | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80907 |
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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.