TARAH TRACY THEVENOT
NPI 1275146524
Nurse Practitioner in Colorado Springs, CO

Q: What is Tarah Thevenot's NPI number?

The NPI number for Tarah Thevenot is 1275146524. It was assigned to this individual provider in the NPPES registry on August 26, 2020.

Q: What is Tarah Thevenot's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Tarah Thevenot was last updated on November 5, 2021. 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 August 26, 2020

1702 E PIKES PEAK AVE, COLORADO SPRINGS, CO 80909(719) 358-7338 Get Directions Write a Review

NPPES record last updated: November 5, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 5, 2021, Jul 30, 2021, Jan 7, 2021 and 1 more (4 updates tracked since 2020).

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About Tarah Tracy Thevenot NPPES

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

TARAH TRACY THEVENOT (NPI 1275146524) is an individual nurse practitioner in Colorado Springs, Colorado, licensed in Colorado (C-APN.0002436-C-NP) and active in the NPI registry since August 2020. She maintains a secondary practice location in Ocala.

NPPES Registry Identity

NPI1275146524

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameTARAH TRACY THEVENOT

Location Address1702 E PIKES PEAK AVEColorado Springs, CO 80909-5717

Mailing Address1702 E Pikes Peak AveColorado Springs, CO 80909-5717 · (719) 358-7338

Phone(719) 358-7338

Sole ProprietorYes

Enumeration DateAugust 26, 2020

Last NPPES UpdateNovember 5, 20214 updates tracked since enumeration

NPPES CertifiedNovember 5, 2021

✔ NPI 1275146524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CO · C-APN.0002436-C-NP

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 11008733 (FL)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 11008733 (FL)

1702 E PIKES PEAK AVE, Colorado Springs, CO 80909

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Secondary Practice Location 1

Location 14238 NE 29th PlOcala, FL 34470-3366 · Phone (352) 233-8577

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.

NEW HORIZON YOUTH AND FAMILY SERVICES INC

Counselor (Mental Health)