KIMBERLY TEEHERA MD
NPI 1124762497
Student in an Organized Health Care Education/Training Program in Aurora, CO

Q: What is Kimberly Teehera's NPI number?

The NPI number for Kimberly Teehera is 1124762497. It was assigned to this individual provider in the NPPES registry on April 23, 2022.

Q: What is Kimberly Teehera's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kimberly Teehera was last updated on April 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 23, 2022PECOS Enrolled

12631 E 17TH AVE FL 2, AURORA, CO 80045(303) 724-4367 Get Directions Write a Review

NPPES record last updated: April 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 30, 2022, Apr 23, 2022 (2 updates tracked since 2022).

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About Kimberly Teehera Md NPPES

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

KIMBERLY TEEHERA MD (NPI 1124762497) is an individual student in an organized health care education/training program in Aurora, Colorado, licensed in Colorado (TL.0009311) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124762497

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKIMBERLY TEEHERACredential: MD

Location Address12631 E 17TH AVE FL 2Aurora, CO 80045-2527

Mailing Address12631 E 17th Ave Fl 2Aurora, CO 80045-2527 · (303) 724-4367

Phone(303) 724-4367

Sole ProprietorNo

Enumeration DateApril 23, 2022

Last NPPES UpdateApril 30, 20222 updates tracked since enumeration

NPPES CertifiedApril 30, 2022

✔ NPI 1124762497 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.0009311

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.

12631 E 17TH AVE FL 2, Aurora, CO 80045

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Teehera Md 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.

Other Providers at the Same Location NPPES 7

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

DR. DAVID W COATES MD

Student in an Organized Health Care Education/Training Program