Active NPI
Heather Marie Zink
- Behavior Technician
- Centennial, CO
National Provider Identifier
1881102978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 17-41360
- Practice address
- 12650 E Briarwood Ave
Centennial, CO 80112-6792 - Phone
- (720) 334-5167
- NPI assigned
- Jan 11, 2018
- Last updated
- Jan 11, 2018
- 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 | 17-41360 | CO | Primary |
Addresses
Primary practice location
12650 E Briarwood Ave
Centennial, CO 80112-6792
Mailing address
390 Union Blvd Ste 300
Lakewood, CO 80228-6514
Phone (303) 989-8169
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 |
|---|---|---|---|
| 17-41360 | CO | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515628800000",
"number": "1881102978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 UNION BLVD STE 300",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802286514",
"telephone_number": "303-989-8169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12650 E BRIARWOOD AVE",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801126792",
"telephone_number": "720-334-5167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZINK",
"first_name": "HEATHER",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-11",
"last_updated": "2018-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CO",
"license": "17-41360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jan 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.