Active NPI
Penny Wilkens
- School Psychologist
- Aurora, CO
National Provider Identifier
1538563820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 1540 Billings St
Lot E12
Aurora, CO 80011-5700 - Phone
- (720) 327-4913
- NPI assigned
- Oct 15, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | OK | Primary |
Addresses
Primary practice location
1540 Billings St
Lot E12
Aurora, CO 80011-5700
Mailing address
1540 Billings St
Lot E12
Aurora, CO 80011-5700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G848605 | Medicaid | CO |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1538563820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 BILLINGS ST",
"address_2": "LOT E12",
"city": "AURORA",
"state": "CO",
"postal_code": "800115700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 BILLINGS ST",
"address_2": "LOT E12",
"city": "AURORA",
"state": "CO",
"postal_code": "800115700",
"telephone_number": "720-327-4913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKENS",
"first_name": "PENNY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-15",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "OK",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G848605",
"state": "CO"
}
],
"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 Jul 21, 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.