Individual provider Active NPI

Taheerah Baheejah Rahim-Gibson, RRT

  • Registered Respiratory Therapist
  • Colorado Springs, CO
National Provider Identifier
1063845030
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
RTL0005361 Issued in CO
Practice address
5463 McCullough Dr Apt C
Colorado Springs, CO 80902-1679
Phone
(808) 227-1808
NPI assigned
Aug 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X HI
Registered Respiratory Therapist 227900000X 5626 TN
Registered Respiratory Therapist 227900000X RT-574 HI
Registered Respiratory Therapist 227900000X RTL0005361 CO Primary
Other Technician 247200000X RBT-16-21790 HI

Addresses

Primary practice location

5463 McCullough Dr Apt C
Colorado Springs, CO 80902-1679

Mailing address

5463 McCullough Dr Apt C
Colorado Springs, CO 80902-1679
Phone (808) 227-1808

Other practice location 1

400 W 16th St
Pueblo, CO 81003-2745
Phone (719) 584-4000

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

LicenseStateTypeSpecialty
RTL0005361COMDRegistered Respiratory Therapist
RT-574HIMDRegistered Respiratory Therapist
5626TNMDRegistered Respiratory Therapist
RBT-16-21790HIMDOther Technician

NPI Registry JSON

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1063845030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5463 MCCULLOUGH DR APT C",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809021679",
            "telephone_number": "808-227-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5463 MCCULLOUGH DR APT C",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809021679",
            "telephone_number": "808-227-1808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 W 16th St",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810032745",
            "country_code": "US",
            "telephone_number": "719-584-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAHIM-GIBSON",
        "first_name": "TAHEERAH",
        "middle_name": "BAHEEJAH",
        "name_prefix": "Mrs.",
        "credential": "RRT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": null,
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "TN",
            "license": "5626",
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "HI",
            "license": "RT-574",
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "CO",
            "license": "RTL0005361",
            "primary": true
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "HI",
            "license": "RBT-16-21790",
            "primary": false
        }
    ],
    "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 Mar 17, 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.