NPIMap

Organization Active NPI

Blue Peaks Developmental Services Inc

  • Occupational Therapist
  • Alamosa, CO
National Provider Identifier
1073053989
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT.0002607 Issued in CO
Legal business name
BLUE PEAKS DEVELOPMENTAL SERVICES INC
Practice address
703 4TH St
Alamosa, CO 81101-2524
Phone
(719) 589-5135
Fax
(719) 589-0680
NPI assigned
Feb 27, 2017
Last updated
Feb 27, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2017

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

Authorized official

Name
Anita M Kinsey
Title
Finance Director
Phone
(719) 589-5135

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT.0002607 CO Primary
Speech-Language Pathologist 235Z00000X SLP.0000912 CO

Addresses

Primary practice location

703 4TH St
Alamosa, CO 81101-2524

Mailing address

703 4TH St
Alamosa, CO 81101-2524
Phone (719) 589-5135

Other identifiers 1

IdentifierTypeStateIssuer
31622755MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Blue Peaks Developmental Services Inc16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1073053989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 4TH ST",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811012524",
            "telephone_number": "719-589-5135",
            "fax_number": "719-589-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 4TH ST",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811012524",
            "telephone_number": "719-589-5135",
            "fax_number": "719-589-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE PEAKS DEVELOPMENTAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "KINSEY",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "719-589-5135"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0002607",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0000912",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31622755",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamosa, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.