Active NPI
Taylor Kaufman, CNIM
- Electroneurodiagnostic Specialist/Technologist
- Denver, CO
National Provider Identifier
1376019679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- License
- 3901
- Practice address
- 1372 W Hoye PL
Denver, CO 80223-2704 - Phone
- (303) 888-4764
- NPI assigned
- Oct 15, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | CO | ||
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | |||
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | 3901 | CO | Primary |
Addresses
Primary practice location
1372 W Hoye PL
Denver, CO 80223-2704
Mailing address
PO Box 1945
Colorado Springs, CO 80901-1945
Phone (719) 888-1007
Other practice location 1
5460 Ward Rd Ste 220
Arvada, CO 80002-1818
Phone (303) 910-7703
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 246ZE0600X | Other | CO | TAXONOMY |
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 |
|---|---|---|---|
| 3901 | CO | MD | Electroneurodiagnostic Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657152000000",
"number": "1376019679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1945",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809011945",
"telephone_number": "719-888-1007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1372 W HOYE PL",
"city": "DENVER",
"state": "CO",
"postal_code": "802232704",
"telephone_number": "303-888-4764"
}
],
"practiceLocations": [
{
"address_1": "5460 Ward Rd Ste 220",
"address_purpose": "LOCATION",
"city": "Arvada",
"state": "CO",
"postal_code": "800021818",
"country_code": "US",
"telephone_number": "303-910-7703",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAUFMAN",
"first_name": "TAYLOR",
"credential": "CNIM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-15",
"last_updated": "2022-07-07",
"certification_date": "2022-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": "CO",
"license": null,
"primary": false
},
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": null,
"primary": false
},
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": "CO",
"license": "3901",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAXONOMY",
"identifier": "246ZE0600X",
"state": "CO"
}
],
"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 Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.