IndividualActive
Alice Tibbetts, PA-C
NPI 1821640061 · Physician Assistant · Longmont, CO
Provider details
- NPI number
- 1821640061
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2030 Mountain View Ave Ste 420
Longmont, CO 80501-3182
Phone: (303) 776-9400
Approximate (ZIP-level) locationGet directions
Mailing address
10200 Grand Central Ave Ste 220
Owings Mills, MD 21117-4366
Additional practice locations (2)
- 2900 E 136th Ave Ste 201Thornton, CO 80241-3542Phone: (303) 996-6005Fax: (303) 420-8831
- 3555 Lutheran Pkwy Ste 340Wheat Ridge, CO 80033-6039Phone: (303) 996-6005Fax: (303) 420-8831
Registry dates
- Enumerated
- 2019-07-09
- Last updated
- 2025-04-15
- Certified
- 2025-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.