Active NPI
Kimberly Tucker
- Behavior Analyst
- Colorado Springs, CO
National Provider Identifier
1225544943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-56479
- Practice address
- 1330 Quail Lake Loop Ste 200
Colorado Springs, CO 80906-4651 - Phone
- (719) 540-2152
- NPI assigned
- Dec 18, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | 0-18-9386 | CO | |
| Behavior Analyst | 103K00000X | 1-21-56479 | CO | Primary |
Addresses
Primary practice location
1330 Quail Lake Loop Ste 200
Colorado Springs, CO 80906-4651
Mailing address
1330 Quail Lake Loop Ste 200
Colorado Springs, CO 80906-4651
Phone (719) 540-2152
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 5Codys LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639526400000",
"number": "1225544943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 QUAIL LAKE LOOP STE 200",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809064651",
"telephone_number": "719-540-2152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 QUAIL LAKE LOOP STE 200",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809064651",
"telephone_number": "719-540-2152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "KIMBERLY",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-18",
"last_updated": "2021-12-15",
"certification_date": "2021-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "CO",
"license": "0-18-9386",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CO",
"license": "1-21-56479",
"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 Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.