Harue Ishii Keim, MA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-67611

Practice address

1080 W 6TH Ave
Broomfield, CO 80020-3408

Phone

(720) 556-9225

NPI assigned

Jun 22, 2020

Reactivated

Dec 28, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

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.

• Smilesphere, LLC

  • Behavior Analyst
  • Broomfield, CO
  • NPI 1124990866
  NPD Authorized official

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1811513203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 W 6TH AVE",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800203408",
            "telephone_number": "720-556-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 W 6TH AVE",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800203408",
            "telephone_number": "720-556-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEIM",
        "first_name": "HARUE",
        "middle_name": "ISHII",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "deactivation_date": "2023-10-10",
        "reactivation_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-23-67611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Michael Kapitan Jr.
• Jennyfer Karch, FNP
• Swarada Karmarkar, DDS
• Jennifer Katsirubas, PT
• Julie Kay, L.AC., C.H.
• Julianne M Keith, DPT
• Britni Keitz
• Kyle Kelly, PTA
• Emily Kempf
• Tracy Kenline, LCSW

• Behavior Analyst in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Behavior Analyst in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.

Verify at the official NPI Registry.