Individual provider Active NPI

Kiarra A Lucero

  • Behavior Technician
  • Denver, CO
National Provider Identifier
1366002560
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
19-97341 Issued in CO
Practice address
695 S Colorado Blvd Ste 10
Denver, CO 80246-8015
Phone
(720) 696-9611
NPI assigned
Jun 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 19-97341 CO Primary

Addresses

Primary practice location

695 S Colorado Blvd Ste 10
Denver, CO 80246-8015

Mailing address

695 S Colorado Blvd Ste 10
Denver, CO 80246-8015
Phone (720) 696-9611

Other practice location 1

11698 Huron St
Suite 106
Northglenn, CO 80234-2920
Phone (303) 989-8169

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

LicenseStateTypeSpecialty
19-97341COMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Autism and Related Disorders LLC CurrentSince Nov 8, 2020 Accepting new patients

Locations

695 S Colorado Blvd
Ste 10
Denver, CO 80246
Phone (720) 696-9611

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1366002560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 S COLORADO BLVD STE 10",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802468015",
            "telephone_number": "720-696-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 S COLORADO BLVD STE 10",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802468015",
            "telephone_number": "720-696-9611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11698 Huron St",
            "address_2": "Suite 106",
            "address_purpose": "LOCATION",
            "city": "Northglenn",
            "state": "CO",
            "postal_code": "802342920",
            "country_code": "US",
            "telephone_number": "303-989-8169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCERO",
        "first_name": "KIARRA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CO",
            "license": "19-97341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; 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.