MEDICARE: KRISTI LEA THOMAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	CO
2	101YP1600X	Pastoral Counselor	CO
3	101YS0200X	School Counselor	CO
4	103TP2701X	Group Psychotherapy Psychologist	CO
5	171M00000X	Case Manager/Care Coordinator	CO
6	171W00000X	Contractor	CO
7	171WH0202X	Home Modifications Contractor	CO
8	171WV0202X	Vehicle Modifications Contractor	CO
9	1744R1102X	Research Study Specialist	CO
10	1744R1103X	Research Study Abstracter/Coder	CO
11	174H00000X	Health Educator	CO
12	175L00000X	Homeopath	CO
13	372500000X	Chore Provider	CO
14	390200000X	Student in an Organized Health Care Education/Training Program	CO
15	103K00000X	Behavior Analyst	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215492343
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTI LEA THOMAS

Provider Business Mailing Address
First Line	:	3257 S PARKER RD APT 4509
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80014-3201
Country	:	US
Telephone Number	:	720-773-4982
Fax Number	:

Provider Business Practice Location Address
First Line	:	3257 S PARKER RD APT 3257S
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80014-3237
Country	:	US
Telephone Number	:	720-773-4982
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2019
Last Update Date	:	02/02/2019

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Directions to “ KRISTI LEA THOMAS ” Practice Location

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