Pediatric Neurology and Epilepsy Specialists, PLLC

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

Legal business name

PEDIATRIC NEUROLOGY AND EPILEPSY SPECIALISTS, PLLC

Practice address

6031 E Woodmen Rd Ste 330
Colorado Springs, CO 80923-2624

Phone

(303) 226-7230

NPI assigned

Nov 17, 2025

Organization subpart

No

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

(719) 638-1122

Specialties & licenses 1

Addresses

Tax ID family

Pediatric Neurology and Epilepsy Specialists PLLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Pediatric Neurology and Epilepsy Specialists, PLLC

  • Neurology with Special Qualifications in Child Neurology Physician
  • Parker, CO
  • NPI 1497605935
  NPD tax ID
• Pediatric Neurology and Epilepsy Specialists, PLLC

  • Neurology with Special Qualifications in Child Neurology Physician
  • Loveland, CO
  • NPI 1730049115
  NPD tax ID
• Pediatric Neurology and Epilepsy Specialists, PLLC

  • Neurology with Special Qualifications in Child Neurology Physician
  • Denver, CO
  • NPI 1801611421
  NPD tax ID

Locations

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

{
    "created_epoch": "1763337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763337600000",
    "number": "1326908708",
    "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": "303-226-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6031 E WOODMEN RD STE 330",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232624",
            "telephone_number": "303-226-7230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC NEUROLOGY AND EPILEPSY SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-17",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A",
        "authorized_official_last_name": "LICANO",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "719-638-1122"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Associates, PC
• Pediatric Cardiology Associates
• Pediatric Endocrine Associates, P.C.
• Pediatric Gastroenterology of Colorado Springs
• Pediatric Holistic Wellness
• Pediatric Psychology Services of Colorado (Exploration Kids Therapy)
• Pediatric Pulmonary and Sleep Specialists, PLLC (Pediatric Sleep Specialists)
• Pediatric Pulmonary and Sleep Specialists, PLLC (Pediatric Sleep Specialists)
• Pediatric Pulmonary and Sleep Specialists, PLLC (Pediatric Sleep Specialists)
• Pediatric Services of America, Inc (PSA Healthcare)

• Neurology with Special Qualifications in Child Neurology Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Neurology with Special Qualifications in Child Neurology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.

Verify at the official NPI Registry.