Provider Demographics
| NPI: | 1265129134 |
|---|---|
| Name: | NOCOCAI, LLC |
| Entity type: | Organization |
| Organization Name: | NOCOCAI, LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CFO |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | TARRYN |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | FARRELL |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 970-631-4173 |
| Mailing Address - Street 1: | 2244 E HARMONY RD STE 100 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | FORT COLLINS |
| Mailing Address - State: | CO |
| Mailing Address - Zip Code: | 80528-3422 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 970-818-2311 |
| Mailing Address - Fax: | 970-997-1117 |
| Practice Address - Street 1: | 2244 E HARMONY RD STE 100 |
| Practice Address - Street 2: | |
| Practice Address - City: | FORT COLLINS |
| Practice Address - State: | CO |
| Practice Address - Zip Code: | 80528-3422 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 970-818-2311 |
| Practice Address - Fax: | 970-997-1117 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2023-04-20 |
| Last Update Date: | 2023-04-20 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | Multi-Specialty | Group - Multi-Specialty |
| No | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | Group - Multi-Specialty | |
| No | 103G00000X | Behavioral Health & Social Service Providers | Clinical Neuropsychologist | Group - Multi-Specialty | |
| No | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | Group - Multi-Specialty | |
| No | 111N00000X | Chiropractic Providers | Chiropractor | Group - Multi-Specialty | |
| No | 207LP2900X | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine | Group - Multi-Specialty |
| No | 208100000X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Group - Multi-Specialty | |
| No | 2081P2900X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Pain Medicine | Group - Multi-Specialty |
| No | 208VP0014X | Allopathic & Osteopathic Physicians | Pain Medicine | Interventional Pain Medicine | Group - Multi-Specialty |
| No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
| No | 247100000X | Technologists, Technicians & Other Technical Service Providers | Radiologic Technologist | Group - Multi-Specialty | |
| No | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Group - Multi-Specialty |