Active NPI
Augustina Green
- Behavior Technician
- Colorado Springs, CO
National Provider Identifier
1770123192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-19-109132
- Practice address
- 7011 Campus Dr Ste 205
Colorado Springs, CO 80920-3104 - Phone
- (719) 466-4809
- Fax
- (719) 368-8399
- NPI assigned
- Jan 14, 2020
- 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 Technician | 106S00000X | RBT-19-109132 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | augustina.green@coloradobehavior.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-19-109132 | CO | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elizabeth Ostendorf LLC | Behavior Technician | Current | Accepting new patients |
Locations
7011 Campus Dr
Ste 205
Colorado Springs, CO 80920
Phone (719) 466-4890
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578960000000",
"number": "1770123192",
"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"
},
{
"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": "GREEN",
"first_name": "AUGUSTINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-14",
"last_updated": "2020-01-14",
"certification_date": "2020-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CO",
"license": "RBT-19-109132",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "augustina.green@coloradobehavior.com",
"affiliation": "N",
"endpointDescription": "provider email",
"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 Jan 14, 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.