Active NPI
Bailey Bloomfield
- Behavior Analyst
- Centennial, CO
National Provider Identifier
1740984624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-47346
- Practice address
- 6855 S Havana St
Centennial, CO 80112-3837 - Phone
- (857) 829-4040
- NPI assigned
- Mar 27, 2023
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-21-47346 | Primary |
Addresses
Primary practice location
6855 S Havana St
Centennial, CO 80112-3837
Mailing address
9161 Judson St
Westminster, CO 80031-3397
Other names 1
- Bailey Bryant
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": "1679875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679875200000",
"number": "1740984624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9161 JUDSON ST",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "800313397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6855 S HAVANA ST",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801123837",
"telephone_number": "857-829-4040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOOMFIELD",
"first_name": "BAILEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-27",
"last_updated": "2023-03-27",
"certification_date": "2023-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-21-47346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BAILEY",
"last_name": "BRYANT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.