BETHANY PAJ TSIS THAWJ XIONG-KOON
NPI 1053245324
Student in an Organized Health Care Education/Training Program in Greeley, CO

Q: What is Bethany Xiong-koon's NPI number?

The NPI number for Bethany Xiong-koon is 1053245324. It was assigned to this individual provider in the NPPES registry on June 10, 2026. The provider is also known as Bethany Paj Tsis Thawj Xiong Do.

Q: What is Bethany Xiong-koon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since June 10, 2026PECOS Enrolled

1600 23RD AVE, GREELEY, CO 80634(303) 929-3768 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Bethany Paj Tsis Thawj Xiong-koon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BETHANY PAJ TSIS THAWJ XIONG-KOON (NPI 1053245324) is an individual student in an organized health care education/training program in Greeley, Colorado, licensed in Colorado (TL.0011613) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053245324

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameBETHANY PAJ TSIS THAWJ XIONG-KOON

Location Address1600 23RD AVEGreeley, CO 80634-6070

Mailing Address2639 W 104th CtWestminster, CO 80234-3509 · (303) 929-3768

Phone(303) 929-3768

Sole ProprietorYes

Enumeration DateJune 10, 2026

Last NPPES UpdateJune 19, 2026

NPPES CertifiedJune 19, 2026

✔ NPI 1053245324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in CO · TL.0011613

Definition

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.

1600 23RD AVE, Greeley, CO 80634

Open in Google Maps ↗

Other Names 1

Former Name (1)Bethany Paj Tsis Thawj Xiong Do

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bethany Paj Tsis Thawj Xiong-koon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Leave this field empty

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DOROTHY MARIE SCHULTE FNP

Nurse Practitioner