Organization Active NPI

Pediatric Pulmonary and Sleep Specialists, PLLC

Doing business as Pediatric Sleep Specialists

  • Pediatric Sleep Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1053904664
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Sleep Medicine PhysicianTaxonomy code 2080S0012X
Legal business name
PEDIATRIC PULMONARY AND SLEEP SPECIALISTS, PLLC
Doing business as
Pediatric Sleep Specialists
Practice address
1849 Austin Bluffs Pkwy Ste 150
Colorado Springs, CO 80918-7851
Phone
(719) 638-1122
Fax
(719) 638-1123
NPI assigned
Feb 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Authorized official

Name
Amanda Harris
Title
Practice Manager
Phone
(719) 638-1122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Sleep Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2080S0012X Primary

Addresses

Primary practice location

1849 Austin Bluffs Pkwy Ste 150
Colorado Springs, CO 80918-7851

Mailing address

9235 N Union Blvd
Ste 150 334
Colorado Springs, CO 80920-7833
Phone (719) 638-1122

Other names 1

  • Pediatric Sleep Specialists Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Pulmonary and Sleep Specialists PLLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9235 N Union Blvd
Ste 150
Colorado Springs, CO 80920

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18767/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1053904664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9235 N UNION BLVD",
            "address_2": "STE 150 334",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207833",
            "telephone_number": "719-638-1122",
            "fax_number": "719-638-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1849 AUSTIN BLUFFS PKWY STE 150",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809187851",
            "telephone_number": "719-638-1122",
            "fax_number": "719-638-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PULMONARY AND SLEEP SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-15",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "719-638-1122"
    },
    "taxonomies": [
        {
            "code": "2080S0012X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Sleep Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 13, 2021; 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.