Active NPI
Bethany Pannier, RBT
- Behavior Technician
- Colorado Springs, CO
National Provider Identifier
1356904619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-19-84565
- Practice address
- 3535 Parkmoor Village Dr
Colorado Springs, CO 80917-5292 - Phone
- (719) 232-3498
- Fax
- (719) 325-8994
- NPI assigned
- Apr 22, 2019
- 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 | RBT-19-84565 | CO | Primary |
Addresses
Primary practice location
3535 Parkmoor Village Dr
Colorado Springs, CO 80917-5292
Mailing address
3535 Parkmoor Village Dr # 2
Colorado Springs, CO 80917-5292
Phone (719) 232-3498
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 |
|---|---|---|---|
| RBT-19-84565 | CO | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555891200000",
"number": "1356904619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3535 PARKMOOR VILLAGE DR # 2",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809175292",
"telephone_number": "719-232-3498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 PARKMOOR VILLAGE DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809175292",
"telephone_number": "719-232-3498",
"fax_number": "719-325-8994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANNIER",
"first_name": "BETHANY",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-22",
"last_updated": "2019-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CO",
"license": "RBT-19-84565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
- Daisy Paniagua
- Pankaj Nashikkar MD LLC (Physcian Partners of Colorado Springs LLC)
- Kelly Pankratz, PTA
- Barbara Jean Pannell, MS, LPC
- Nicholas Jordan Pannella, DC
- Panorama Orthopedics & Spine Center, PC (Orthopedic Rehabilitation Associates)
- Panorama Orthopedics & Spine Center, PC
- Panorama Orthopedics & Spine Center, PC (Orthopedic Rehabilitation Associates)
- Panorama Orthopedics & Spine Center, PC (Orthopedic Rehabilitation Associates)
- Panorama Orthopedics & Spine Center, PC (Orthopedic Rehabilitation Associates)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.