Provider Demographics
NPI:1841918901
Name:SEMACH, TABITHA ROSE (FNP, PMHNP)
Entity type:Individual
Prefix:MRS
First Name:TABITHA
Middle Name:ROSE
Last Name:SEMACH
Suffix:
Gender:F
Credentials:FNP, PMHNP
Other - Prefix:
Other - First Name:TABITHA
Other - Middle Name:ROSE
Other - Last Name:JEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP, PMHNP
Mailing Address - Street 1:9523 W 77TH PL
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80005-4035
Mailing Address - Country:US
Mailing Address - Phone:423-218-6613
Mailing Address - Fax:
Practice Address - Street 1:3989 E ARAPAHOE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80122
Practice Address - Country:US
Practice Address - Phone:720-379-7243
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-16
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0997997-NP363LP0808X
TNF12200017363LF0000X
CO2022066864363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health