Active NPI
Nyasia Disnuke
- Behavior Technician
- Colorado Springs, CO
National Provider Identifier
1033960554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 2976 N Academy Blvd
Colorado Springs, CO 80917-5308 - Phone
- (719) 466-4809
- Fax
- (719) 368-8399
- NPI assigned
- Apr 1, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CO | Primary |
Addresses
Primary practice location
2976 N Academy Blvd
Colorado Springs, CO 80917-5308
Mailing address
2120 E la Salle St
Colorado Springs, CO 80909-2218
Phone (719) 466-4809
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elizabeth Ostendorf LLC | Behavior Technician | Current | Accepting new patients |
| Elizabeth Ostendorf LLC | Behavior Technician | Past | Accepting new patients |
Locations
2120 E La Salle St
Colorado Springs, CO 80909
2976 N Academy Blvd
Colorado Springs, CO 80917
Phone (719) 465-2986
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711929600000",
"number": "1033960554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2120 E LA SALLE ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809092218",
"telephone_number": "719-466-4809",
"fax_number": "719-368-8399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2976 N ACADEMY BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809175308",
"telephone_number": "719-466-4809",
"fax_number": "719-368-8399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DISNUKE",
"first_name": "NYASIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-01",
"last_updated": "2024-04-01",
"certification_date": "2024-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CO",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.