Kjersten Elizabeth Undem

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1613 Prospect Park Way Ste 110
Fort Collins, CO 80525-9707

Phone

(970) 377-9401

NPI assigned

Jul 31, 2018

Last updated

Jul 31, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1043798143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 EDINBURGH ST APT A7",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252240",
            "telephone_number": "320-224-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 PROSPECT PARK WAY STE 110",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805259707",
            "telephone_number": "970-377-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDEM",
        "first_name": "KJERSTEN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Elise Ulmer, LPC, CEDS-S
• Cathy McAnsh Ulrich
• Ultimate Expression LLC
• Samantha Umland
• Lucie Uncapher, M.D.
• Under Pressure Therapeutics
• Michelle Underhill, MA, CCC-SLP
• Molly Underwager, PHARMD
• Warrenetta Harlin Underwood, R.N.
• Caryn Stanwyck Unger, MS, PT

• Behavior Technician in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Behavior Technician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.

Verify at the official NPI Registry.