Active NPI
Kendelle Grundhauser
- Behavior Technician
- Colorado Springs, CO
National Provider Identifier
1124527965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-18-49039
- Practice address
- 1930 Frequent Flyer PT
Colorado Springs, CO 80915-1500 - Phone
- (800) 345-0448
- NPI assigned
- Feb 7, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-18-49039 | Primary |
Addresses
Primary practice location
1930 Frequent Flyer PT
Colorado Springs, CO 80915-1500
Mailing address
1930 Frequent Flyer PT
Colorado Springs, CO 80915-1500
Phone (800) 345-0448
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517961600000",
"number": "1124527965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1930 FREQUENT FLYER PT",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809151500",
"telephone_number": "800-345-0448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 FREQUENT FLYER PT",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809151500",
"telephone_number": "800-345-0448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUNDHAUSER",
"first_name": "KENDELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-07",
"last_updated": "2018-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": "RBT-18-49039",
"primary": true
}
],
"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 Feb 7, 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.