Organization Active NPI

Pediatric Pulmonary and Sleep Specialists, PLLC

  • Pediatric Sleep Medicine Physician
  • Parker, CO
National Provider Identifier
1235089772
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Sleep Medicine PhysicianTaxonomy code 2080S0012X
Legal business name
PEDIATRIC PULMONARY AND SLEEP SPECIALISTS, PLLC
Practice address
9399 Crown Crest Blvd Ste 350
Parker, CO 80138-8542
Phone
(800) 506-8933
NPI assigned
Feb 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Authorized official

Name
Alicia Licano
Title
Credentialing Manager
Phone
(800) 506-8933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Sleep Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080S0012X Primary

Addresses

Primary practice location

9399 Crown Crest Blvd Ste 350
Parker, CO 80138-8542

Mailing address

9235 N Union Blvd Ste 150334
Colorado Springs, CO 80920-7831
Phone (800) 506-8933

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Pulmonary and Sleep Specialists PLLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1770076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770076800000",
    "number": "1235089772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9235 N UNION BLVD STE 150334",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207831",
            "telephone_number": "800-506-8933",
            "fax_number": "855-863-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9399 CROWN CREST BLVD STE 350",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388542",
            "telephone_number": "800-506-8933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PULMONARY AND SLEEP SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-03",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A",
        "authorized_official_last_name": "LICANO",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "800-506-8933"
    },
    "taxonomies": [
        {
            "code": "2080S0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; 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.