REJANE GABRIELLA TISBY NPI 1801360367

NPI Information

NPI: 1801360367
Provider Name: REJANE GABRIELLA TISBY
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2550 S PARKER RD
AURORA, CO
ZIP 80014
Phone: (720) 926-3092
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Rejane Gabriella Tisby is a family nurse practitioner in Aurora, CO with 3 years of experience. Rejane Gabriella Tisby NPI is 1801360367. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2550 S PARKER RD
AURORA, CO
ZIP 80014-622
Phone: (720) 926-3092

The NPI 1801360367 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/17/2019 and was last updated on 3/1/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WA2000X	Registered Nurse	Administrator	169472	COLORADO	No
2	163WC0400X	Registered Nurse	Case Management	169472	COLORADO	No
3	163WC1600X	Registered Nurse	Continuing Education/Staff Development	169472	COLORADO	No
4	163WH0500X	Registered Nurse	Hemodialysis	169472	COLORADO	No
5	163WR0400X	Registered Nurse	Rehabilitation	169472	COLORADO	No
6	163WW0000X	Registered Nurse	Wound Care	169472	COLORADO	No
7	363LF0000X	Nurse Practitioner	Family	AP-0998445-NP	COLORADO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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