Active NPI
Elyse L Shires
- Student in an Organized Health Care Education/Training Program
- Lakewood, CO
National Provider Identifier
1013568666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 9197 W 6TH Ave Ste 1000
Lakewood, CO 80215-5109 - Phone
- (303) 233-3122
- NPI assigned
- Sep 25, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-19-96620 | CO | |
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | Primary |
Addresses
Primary practice location
9197 W 6TH Ave Ste 1000
Lakewood, CO 80215-5109
Mailing address
9197 W 6TH Ave Ste 1000
Lakewood, CO 80215-5109
Phone (303) 233-3122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-19-96620 | Other | CO | MEDICAID AND KAISER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | elyse.shires@pascohh.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-19-96620 | CO | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713398400000",
"number": "1013568666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9197 W 6TH AVE STE 1000",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802155109",
"telephone_number": "303-233-3122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9197 W 6TH AVE STE 1000",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802155109",
"telephone_number": "303-233-3122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIRES",
"first_name": "ELYSE",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-25",
"last_updated": "2024-04-18",
"certification_date": "2024-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CO",
"license": "RBT-19-96620",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID AND KAISER",
"identifier": "RBT-19-96620",
"state": "CO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "elyse.shires@pascohh.com",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "9197 W 6th Ave Ste 1000",
"city": "Lakewood",
"state": "CO",
"country_code": "US",
"postal_code": "802155109",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.