Provider Demographics
NPI:1215090535
Name:THOMAS, REBECCA JOY (NP)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:JOY
Last Name:THOMAS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:JOY
Other - Last Name:POST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:9116 W BOWLES AVE
Mailing Address - Street 2:STE 3A
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-3476
Mailing Address - Country:US
Mailing Address - Phone:303-904-2600
Mailing Address - Fax:303-904-2655
Practice Address - Street 1:9116 W BOWLES AVE STE 3A
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-3476
Practice Address - Country:US
Practice Address - Phone:303-904-2600
Practice Address - Fax:303-232-8207
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO123059207Q00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO123059OtherRN
CO123059OtherRN