Active NPI
Lucinda Lee Surprenant Nguyen
- Behavior Technician
- Denver, CO
National Provider Identifier
1881253391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 3425 Blake St
Denver, CO 80205-2406 - Phone
- (720) 419-2187
- NPI assigned
- Jun 8, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
3425 Blake St
Denver, CO 80205-2406
Mailing address
250 N Grant St
Denver, CO 80203-4020
Phone (970) 846-1987
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": "1559952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569456000000",
"number": "1881253391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N GRANT ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802034020",
"telephone_number": "970-846-1987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3425 BLAKE ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802052406",
"telephone_number": "720-419-2187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "LUCINDA",
"middle_name": "LEE SURPRENANT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-08",
"last_updated": "2019-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.