Active NPI
Anica Henderson
- Behavior Technician
- Colorado Springs, CO
National Provider Identifier
1245713049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 18-64779
- Practice address
- 2760 Fieldstone Rd
Colorado Springs, CO 80919-3100 - Phone
- (719) 203-6903
- NPI assigned
- Sep 8, 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 | 18-64779 | CO | Primary |
Addresses
Primary practice location
2760 Fieldstone Rd
Colorado Springs, CO 80919-3100
Mailing address
5230 Brodie GRV Apt 307
Colorado Springs, CO 80919-6513
Phone (262) 308-8449
Other names 1
- Mrs. Anica Stamsta
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18-64779 | CO | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536364800000",
"number": "1245713049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5230 BRODIE GRV APT 307",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809196513",
"telephone_number": "262-308-8449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2760 FIELDSTONE RD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809193100",
"telephone_number": "719-203-6903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "ANICA",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-08",
"last_updated": "2018-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CO",
"license": "18-64779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANICA",
"last_name": "STAMSTA",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}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 Sep 8, 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.