Active NPI
Kristie Phillips, MS
- Behavior Analyst
- Lakewood, CO
National Provider Identifier
1144886797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-25-82919
- Practice address
- 265 S Harlan St
Lakewood, CO 80226-2261 - Phone
- (720) 272-1289
- NPI assigned
- May 18, 2019
- Last updated
- Aug 18, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-25-82919 | CO | Primary |
| Case Manager/Care Coordinator | 171M00000X | |||
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
265 S Harlan St
Lakewood, CO 80226-2261
Mailing address
1338 Carteret Ave
Pueblo, CO 81004-3043
Phone (719) 600-1998
Other practice location 1
6942 Ocatillo Vw
Fountain, CO 80817-6970
Phone (719) 248-5523
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20191395942 | Other | CO | CERT OF GOOD STANDING |
Other names 1
- Kristie Kruss, Bliss, Yackeyonny
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755475200000",
"number": "1144886797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1338 CARTERET AVE",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810043043",
"telephone_number": "719-600-1998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 S HARLAN ST",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802262261",
"telephone_number": "720-272-1289"
}
],
"practiceLocations": [
{
"address_1": "6942 Ocatillo Vw",
"address_purpose": "LOCATION",
"city": "Fountain",
"state": "CO",
"postal_code": "808176970",
"country_code": "US",
"telephone_number": "719-248-5523",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHILLIPS",
"first_name": "KRISTIE",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-18",
"last_updated": "2025-08-18",
"certification_date": "2025-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CO",
"license": "1-25-82919",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERT OF GOOD STANDING",
"identifier": "20191395942",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTIE",
"last_name": "KRUSS, BLISS, YACKEYONNY",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.