Tarah Tracy Thevenot, is a
Nurse Practitioner physician based in Colorado Springs, Colorado. Tarah Tracy Thevenot is licensed to practice in Colorado (license number C-APN.0002436-C-NP) and her current practice location is 1702 E Pikes Peak Ave, Colorado Springs, Colorado. She can be reached at her office (for appointments etc.) via phone at
(719) 358-7338.
NPI number for Tarah Tracy Thevenot is 1275146524 and her current mailing address is 1702 E Pikes Peak Ave, Colorado Springs, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275146524.
Physician's Profile
Full Name | Tarah Tracy Thevenot |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 1702 E Pikes Peak Ave, Colorado Springs, Colorado |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275146524
- Provider Enumeration Date: 08/26/2020
- Last Update Date: 11/05/2021
Medical Identifiers
Medical identifiers for Tarah Tracy Thevenot such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275146524 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 11008733 (Florida) | Secondary |
363LF0000X | Nurse Practitioner - Family | 11008733 (Florida) | Secondary |
363L00000X | Nurse Practitioner | C-APN.0002436-C-NP (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tarah Tracy Thevenot is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tarah Tracy Thevenot, 1702 E Pikes Peak Ave, Colorado Springs, CO 80909-5717 Ph: (719) 358-7338 | Tarah Tracy Thevenot, 1702 E Pikes Peak Ave, Colorado Springs, CO 80909-5717 Ph: (719) 358-7338 |
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