Provider Demographics
NPI:1326140070
Name:TOUPS, JEFFREY (CRNA/NSPM-C)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:
Last Name:TOUPS
Suffix:
Gender:M
Credentials:CRNA/NSPM-C
Other - Prefix:
Other - First Name:JEFFREY
Other - Middle Name:
Other - Last Name:TOUPS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CRNA/NSPM-C
Mailing Address - Street 1:435 S 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-3152
Mailing Address - Country:US
Mailing Address - Phone:720-823-0123
Mailing Address - Fax:
Practice Address - Street 1:435 S 4TH AVE
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-3152
Practice Address - Country:US
Practice Address - Phone:720-823-0123
Practice Address - Fax:833-941-2648
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0992056-CRNA367500000X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO752336Medicaid
CO752337Medicaid
TX1491383-01Medicaid