Pediatric Neurology and Epilepsy Specialists, PLLC

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

Legal business name

PEDIATRIC NEUROLOGY AND EPILEPSY SPECIALISTS, PLLC

Practice address

9399 Crown Crest Blvd Ste 350
Parker, CO 80138-8542

Phone

(303) 226-7230

Fax

(833) 438-0775

NPI assigned

Feb 3, 2026

Last updated

Feb 3, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alicia Licano

Title

Credentialing Manager

Phone

(719) 638-1122

Specialties & licenses 1

Addresses

Tax ID family

Pediatric Neurology and Epilepsy Specialists PLLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Pediatric Neurology and Epilepsy Specialists, PLLC

  • Neurology with Special Qualifications in Child Neurology Physician
  • Colorado Springs, CO
  • NPI 1326908708
  NPD tax ID
• Pediatric Neurology and Epilepsy Specialists, PLLC

  • Neurology with Special Qualifications in Child Neurology Physician
  • Loveland, CO
  • NPI 1730049115
  NPD tax ID
• Pediatric Neurology and Epilepsy Specialists, PLLC

  • Neurology with Special Qualifications in Child Neurology Physician
  • Denver, CO
  • NPI 1801611421
  NPD tax ID

Locations

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

{
    "created_epoch": "1770076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770076800000",
    "number": "1497605935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9235 N UNION BLVD STE 150334",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207831",
            "telephone_number": "303-226-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9399 CROWN CREST BLVD STE 350",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388542",
            "telephone_number": "303-226-7230",
            "fax_number": "833-438-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC NEUROLOGY AND EPILEPSY SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-03",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A",
        "authorized_official_last_name": "LICANO",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "719-638-1122"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Pedersen, OD
• Lindsey Pederson
• Pediatric & Adolescent Medicine (Crown Point Pediatrics)
• Pediatric and Adolescent Medicine Associates PC (Crown Point Pediatrics)
• Pediatric Gastroenterology Consultants PC
• Pediatric Pulmonary and Sleep Specialists, PLLC
• Pediatric Speech Therapy Associates (Summit Pediatric Therapy)
• Julie Peek, MA/CCC-SLP
• Nicholas Peiker
• Kendra L. Pelz

• Neurology with Special Qualifications in Child Neurology Physician in Parker, CO
• Providers in Parker, CO by specialty
• Neurology with Special Qualifications in Child Neurology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.