Active NPI
Taheerah Baheejah Rahim-Gibson, RRT
- Registered Respiratory Therapist
- Colorado Springs, CO
National Provider Identifier
1063845030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Respiratory Therapist
- License
- RTL0005361
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RTL0005361 | CO | MD | Registered Respiratory Therapist |
| RT-574 | HI | MD | Registered Respiratory Therapist |
| 5626 | TN | MD | Registered Respiratory Therapist |
| RBT-16-21790 | HI | MD | Other 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.