Active NPI
Jasmine Danielle-Evans Riecken, OTR
- Occupational Therapist
- Colorado Springs, CO
National Provider Identifier
1043845068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 5446 N Academy Blvd Ste 204
Colorado Springs, CO 80918-3669 - Phone
- (719) 598-5555
- NPI assigned
- Mar 10, 2020
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT.0006339 | CO | |
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
5446 N Academy Blvd Ste 204
Colorado Springs, CO 80918-3669
Mailing address
PO Box 2305
Colorado Springs, CO 80901-2305
Other names 1
- Jasmine Danielle Evans
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 |
|---|---|---|---|
| OT.0006339 | CO | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellcare Inc. | Occupational Therapist | Current | Accepting new patients |
| Children'S Therapy of Woodinville | Occupational Therapist | Past | Accepting new patients |
| Nurture Home Health Care Inc | Past | Accepting new patients |
Locations
5446 N Academy Blvd
Ste 204
Colorado Springs, CO 80918
Phone (719) 400-7612
Organizations & group practices 3
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.
-
- Home Health Agency
- Colorado Springs, CO
- NPI 1144846528
-
- Pediatric Occupational Therapist
- Bothell, WA
- NPI 1558440198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583798400000",
"number": "1043845068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2305",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809012305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5446 N ACADEMY BLVD STE 204",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809183669",
"telephone_number": "719-598-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIECKEN",
"first_name": "JASMINE",
"middle_name": "DANIELLE-EVANS",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-10",
"last_updated": "2020-03-10",
"certification_date": "2020-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CO",
"license": "OT.0006339",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JASMINE",
"last_name": "EVANS",
"middle_name": "DANIELLE",
"code": "1",
"type": "Former Name"
}
]
}
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 Mar 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.