Active NPI
Kathleen Wells
- Behavior Analyst
- Arvada, CO
National Provider Identifier
1033615224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 11829724
- Practice address
- 5400 Ward Rd Ste G101
Arvada, CO 80002-1819 - Phone
- (917) 744-5283
- NPI assigned
- Apr 5, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 11829724 | CO | Primary |
Addresses
Primary practice location
5400 Ward Rd Ste G101
Arvada, CO 80002-1819
Mailing address
5334 Dunraven Cir
Golden, CO 80403-2058
Phone (917) 744-5283
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588039317 | Other | CO | AUTISM SERVICES AND PROGRAMS |
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 |
|---|---|---|---|
| 11829724 | CO | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522886400000",
"number": "1033615224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5334 DUNRAVEN CIR",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804032058",
"telephone_number": "917-744-5283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 WARD RD STE G101",
"city": "ARVADA",
"state": "CO",
"postal_code": "800021819",
"telephone_number": "917-744-5283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "KATHLEEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-05",
"last_updated": "2018-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CO",
"license": "11829724",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AUTISM SERVICES AND PROGRAMS",
"identifier": "1588039317",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arvada, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.