Individual provider Active NPI

Ashley Ballard

  • Behavior Analyst
  • Colorado Springs, CO
National Provider Identifier
1710373733
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
5423 Spoked Wheel Dr
Colorado Springs, CO 80923-8741
Phone
(719) 314-8739
NPI assigned
Apr 7, 2015
Last updated
Nov 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X RBT-15-01456 TN
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

5423 Spoked Wheel Dr
Colorado Springs, CO 80923-8741

Mailing address

5423 Spoked Wheel Dr
Colorado Springs, CO 80923-8741
Phone (719) 314-8739

Other practice location 1

532 Jewel Dr
Clarksville, TN 37042-6152
Phone (719) 314-8739

Other practice location 2

5423 Spoked Wheel Dr
Colorado Springs, CO 80923-8741
Phone (719) 314-8739

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
RBT-15-01456TNMDOther Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventure Learning Behavioral Interventions CurrentSince Oct 17, 2021 Accepting new patients
Adventure Learning Behavioral Interventions Behavior Analyst CurrentSince Nov 30, 2020 Accepting new patients

Locations

1015 Garden of the Gods Rd
Colorado Springs, CO 80907
Phone (719) 354-5297

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": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1710373733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5423 SPOKED WHEEL DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809238741",
            "telephone_number": "719-314-8739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5423 SPOKED WHEEL DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809238741",
            "telephone_number": "719-314-8739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "532 Jewel Dr",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370426152",
            "country_code": "US",
            "telephone_number": "719-314-8739",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5423 Spoked Wheel Dr",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809238741",
            "country_code": "US",
            "telephone_number": "719-314-8739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-07",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "TN",
            "license": "RBT-15-01456",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "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 Nov 30, 2020; 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.