THERESA TOMICH (NPI# 1326581257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326581257 |
| Entity Type | Individual |
| Full Name | THERESA TOMICH |
| Practice Address |
12055 W 2nd Pl Lakewood CO 80228-1506 |
| Mailing Address |
4851 Independence St Suite 200 Wheat Ridge CO 80033-6715 |
| Practice Telephone | 3034325007 |
| Mailing Telephone | 3034250300 |
| Mailing Fax Number | 3034325071 |
| Enumeration Date | 2016-11-25 |
| Last Update Date | 2016-11-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
12055 W 2ND PL |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80228-1506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669495404 | Margaret Lackey | Psychiatry & Neurology | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2006-07-25 |
| 1699311803 | Metro Community Provider Network, Inc. | Clinic/Center | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2019-11-22 |
| 1649826215 | Valerie K Damron | Technician, Other | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2019-08-10 |
| 1083132559 | Lauren Fouch | Counselor | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2017-09-06 |
| 1487170692 | Anastasia Soroka | Counselor | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2017-08-18 |
| 1447780994 | Alison West | Counselor | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2017-06-18 |
| 1801332655 | Rachael Saffa | Social Worker | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2017-01-17 |
| 1942744388 | Paula Prentice | Psychologist | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2016-12-04 |
| 1376092080 | Jessica Way | Counselor | 12055 W 2nd Pl, Lakewood, CO 80228 | 2016-09-23 |
| 1164970588 | Shannon Gwash | Community Health Worker | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2016-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174083570 | Lindsey Mae Beverly | Physician Assistant | Medical Plaza 2, 11700 W 2nd Pl, #350, Lakewood, CO 80228 | 2019-03-21 |
| 1881119931 | Cory J Frazier | Nurse Practitioner | 11600 W. 2nd Pl, Lakewood, CO 80228 | 2017-08-10 |
| 1508213885 | Chelsea Tucker | Counselor | 12157 W Cedar Dr Ste 207, Lakewood, CO 80228 | 2016-05-17 |
| 1972963841 | Shastin Gerbracht | Counselor | 12055 W 2nd Pl, Ste 200, Lakewood, CO 80228 | 2016-03-04 |
| 1073983375 | Suzanne Phillips | Behavioral Analyst | 200 Union Blvd. Ste. 200, Lakewood, Co. 80228, Denver, CO 80228 | 2015-09-29 |
| 1700265667 | April Mearsha | Doula | 12977 W Cedar Dr, 2-305, Lakewood, CO 80228 | 2015-05-26 |
| 1306233713 | Caleb Hedberg | Internal Medicine | 165 S Union Blvd Ste 800, Lakewood, CO 80228 | 2015-04-23 |
| 1972996288 | David Lindsey Currie | Counselor | 12055 W 2nd Place, Jefferson Ctr for Mental Health, Lakewood, CO 80228 | 2015-03-11 |
| 1619365533 | Michelle Broberg II | Technician | 12055 West 2nd Plaza, Lakewood, CO 80228 | 2014-12-30 |
| 1750789012 | Kayla Morrison | Social Worker | 12005 W 2nd Place, Lakewood, CO 80228 | 2014-12-18 |
| Find all providers in zip 80228 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245839992 | Kara Lubieniecki | Student in an Organized Health Care Education/Training Program | 10445 W Iliff Ave, Lakewood, CO 80227-2024 | 2020-10-23 |
| 1477152817 | Molly Dare Bartlett | Student in an Organized Health Care Education/Training Program | 1606 Yarrow St, Lakewood, CO 80214-6031 | 2020-10-17 |
| 1568079333 | Elizabeth Jayne Paddock | Student in an Organized Health Care Education/Training Program | 7334 W Ohio Ave Apt 208, Lakewood, CO 80226-4986 | 2020-09-25 |
| 1982217089 | Jessica Lucero | Student in an Organized Health Care Education/Training Program | 12997 W Oregon Dr, Lakewood, CO 80228-3756 | 2020-08-28 |
| 1295353761 | Shelby Elizabeth Searcy | Student in an Organized Health Care Education/Training Program | 1233 Granger Ave, Lakewood, OH 44107-2218 | 2020-07-10 |
| 1750906913 | Kevin Jaid Alba-torres | Student in an Organized Health Care Education/Training Program | 6796 W 3rd Ave, Lakewood, CO 80226-1781 | 2020-06-13 |
| 1780213405 | Gregory Johnson | Student in an Organized Health Care Education/Training Program | 534 S Field St, Lakewood, CO 80226-2957 | 2020-04-04 |
| 1891325296 | Andrew Leonard | Student in an Organized Health Care Education/Training Program | 154 S Zang Way Apt 4-104, Lakewood, CO 80228-2044 | 2020-01-24 |
| 1780231696 | Zachary Edward Bohn | Student in an Organized Health Care Education/Training Program | 2212 S Eldridge St, Lakewood, CO 80228-4856 | 2019-08-25 |
| 1245797489 | Kyle Allen Carleton | Student in an Organized Health Care Education/Training Program | 1421 Alameda Ave, Lakewood, OH 44107-4920 | 2019-02-25 |
| Find all providers in LAKEWOOD | ||||
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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.