Organization Active NPI

Blue Sprig Pediatrics

  • Behavior Technician
  • Aurora, CO
National Provider Identifier
1386566859
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Legal business name
BLUE SPRIG PEDIATRICS
Practice address
1330 S Potomac St Ste 111
Aurora, CO 80012-4527
Phone
(720) 845-6675
NPI assigned
Jul 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Authorized official

Name
Ismael Nichelson
Title
RBT
Phone
(720) 412-8484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X Primary

Addresses

Primary practice location

1330 S Potomac St Ste 111
Aurora, CO 80012-4527

Mailing address

300 International Pkwy Ste 200
Lake Mary, FL 32746-5028
Phone (720) 412-8484

National Provider Directory

National Provider Directory

Locations

1330 S Potomac St
Ste 111
Aurora, CO 80012
Phone (720) 845-6675

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1785196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1386566859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 INTERNATIONAL PKWY STE 200",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465028",
            "telephone_number": "720-412-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 S POTOMAC ST STE 111",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124527",
            "telephone_number": "720-845-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SPRIG PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "NICHELSON",
        "authorized_official_first_name": "ISMAEL",
        "authorized_official_title_or_position": "RBT",
        "authorized_official_telephone_number": "720-412-8484"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.