Active NPI
Kelley Corlew
- Behavior Technician
- Colorado Springs, CO
National Provider Identifier
1326555400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 2989 Broadmoor Valley Rd Ste D
Colorado Springs, CO 80906-4403 - Phone
- (719) 576-1316
- NPI assigned
- Jan 10, 2018
- Last updated
- Jan 10, 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 | CO | Primary |
Addresses
Primary practice location
2989 Broadmoor Valley Rd Ste D
Colorado Springs, CO 80906-4403
Mailing address
9415 Palladium HTS Apt 216
Colorado Springs, CO 80920-1581
Phone (904) 718-2463
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": "1515542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515542400000",
"number": "1326555400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9415 PALLADIUM HTS APT 216",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809201581",
"telephone_number": "904-718-2463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2989 BROADMOOR VALLEY RD STE D",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809064403",
"telephone_number": "719-576-1316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORLEW",
"first_name": "KELLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-10",
"last_updated": "2018-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CO",
"license": null,
"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 Jan 10, 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.