Individual ProviderNicholas TharpeCase Manager/Care CoordinatorOther Service ProvidersPractice Address2325 Cerrillos Rd, Santa Fe, NM 87505-3373(505) 438-0010PECOS EnrollmentBased on the most recent information from CMS, provider Nicholas Tharpe does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1013478940Provider TypeIndividualFull NameTharpe, NicholasCredentialCRMGenderMaleSole ProprietorNoEnumeration Date3/25/2019Last Updated2/14/2022Contact InformationPractice LocationPractice Address2325 Cerrillos Rd, Santa Fe, NM 87505-3373Phone(505) 438-0010Fax(505) 438-6011Mailing LocationMailing Address2325 Cerrillos Rd, Santa Fe, NM 87505-3373Phone(505) 438-0010FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerNew MexicoCode175T00000XDescriptionPeer SpecialistOther Service ProvidersLicense19-CRM-076OregonProvider IdentifiersIDDescriptionIssuerID19-CRM-076DescriptionOtherIssuerACCBOOregon