Individual provider Active NPI

Annelise Sognnaes Spees, MD

  • Developmental - Behavioral Pediatrics Physician
  • Colorado Springs, CO
National Provider Identifier
1043308174
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
37389 Issued in CO
Practice address
3210 N Academy Blvd
Suite 3
Colorado Springs, CO 80917-5188
Phone
(719) 531-0409
Fax
(719) 531-0410
NPI assigned
Oct 11, 2006
Last updated
Nov 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 37389 CO
Developmental - Behavioral Pediatrics Physician 2080P0006X 37389 CO Primary

Addresses

Primary practice location

3210 N Academy Blvd
Suite 3
Colorado Springs, CO 80917-5188

Mailing address

3210 N Academy Blvd
Suite 3
Colorado Springs, CO 80917-5188
Phone (719) 531-0409

Other identifiers 1

IdentifierTypeStateIssuer
16879538MedicaidCO

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
37389COMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Medical Group of Colorado Pediatrics Current Accepting new patients

Locations

3210 N Academy Blvd
Ste 3
Colorado Springs, CO 80917
Phone (719) 531-0409

Interoperability endpoints

  • Direct secure messaging: aspeesmd@dmg.ssdirect.aprima.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1043308174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 N ACADEMY BLVD",
            "address_2": "SUITE 3",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175188",
            "telephone_number": "719-531-0409",
            "fax_number": "719-531-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 N ACADEMY BLVD",
            "address_2": "SUITE 3",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175188",
            "telephone_number": "719-531-0409",
            "fax_number": "719-531-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEES",
        "first_name": "ANNELISE",
        "middle_name": "SOGNNAES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "37389",
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "CO",
            "license": "37389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16879538",
            "state": "CO"
        }
    ],
    "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 Nov 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.