Individual provider Active NPI

Tucker Dye

  • Behavior Technician
  • Colorado Springs, CO
National Provider Identifier
1457932089
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-21-162597 Issued in CO
Practice address
7011 Campus Dr Ste 205
Colorado Springs, CO 80920-3104
Phone
(719) 466-4809
Fax
(719) 368-8399
NPI assigned
Apr 15, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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 RBT-21-162597 CO Primary

Addresses

Primary practice location

7011 Campus Dr Ste 205
Colorado Springs, CO 80920-3104

Mailing address

7011 Campus Dr Ste 205
Colorado Springs, CO 80920-3104
Phone (719) 466-4809

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tucker.dye@coloradobehavior.com Direct Elizabeth Ostendorf LLC

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
RBT-21-162597COMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Ostendorf LLC Behavior Technician CurrentSince Apr 20, 2021 Accepting new patients

Locations

7011 Campus Dr
Ste 205
Colorado Springs, CO 80920
Phone (719) 464-0622

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, 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": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1457932089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7011 CAMPUS DR STE 205",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203104",
            "telephone_number": "719-466-4809",
            "fax_number": "719-368-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7011 CAMPUS DR STE 205",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203104",
            "telephone_number": "719-466-4809",
            "fax_number": "719-368-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYE",
        "first_name": "TUCKER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CO",
            "license": "RBT-21-162597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tucker.dye@coloradobehavior.com",
            "affiliation": "Y",
            "endpointDescription": "provider email",
            "affiliationName": "Elizabeth Ostendorf LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct provider email for health information",
            "address_1": "7011 Campus Dr Ste 205",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809203104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 15, 2021; 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.