Individual provider Active NPI

Nicole Lynn Bank, MS, BCBA

  • Behavior Analyst
  • Colorado Springs, CO
National Provider Identifier
1376705400
Registry record updated May 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-05-2127 Issued in NU
Practice address
3578 Hartsel Dr
Unit E-200
Colorado Springs, CO 80920-2103
Phone
(719) 271-1525
Fax
(719) 260-6667
NPI assigned
Jun 30, 2008
Last updated
May 3, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-05-2127 NU Primary

Addresses

Primary practice location

3578 Hartsel Dr
Unit E-200
Colorado Springs, CO 80920-2103

Mailing address

3578 Hartsel Dr
Unit E-200
Colorado Springs, CO 80920-2103
Phone (719) 271-1525

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
Credentials
Master of Science

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272844800000",
    "number": "1376705400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3578 HARTSEL DR",
            "address_2": "UNIT E-200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809202103",
            "telephone_number": "719-271-1525",
            "fax_number": "719-260-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3578 HARTSEL DR",
            "address_2": "UNIT E-200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809202103",
            "telephone_number": "719-271-1525",
            "fax_number": "719-260-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANK",
        "first_name": "NICOLE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MS, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2010-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": "1-05-2127",
            "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 May 3, 2010; 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.