BRANDIE HARRISON (NPI# 1245766187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245766187 |
| Entity Type | Individual |
| Full Name | BRANDIE HARRISON |
| Other Name | MRS. KYMBURR MATA ROARK |
| Practice Address |
1270 Beacon Hill Way Colorado Springs CO 80905-8107 |
| Practice Telephone | 7199641766 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| N | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility |
| Street Address |
1270 BEACON HILL WAY |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80905-8107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447787130 | M.a.t.a Mindset Acquired Through Abilities | Non-emergency Medical Transport (VAN) | 1270 Beacon Hill Way, Colorado Springs, CA 80905-7012 | 2017-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710524137 | Julie Esther Ayaad | Nurse Practitioner | 1427 W Rio Grande, Colorado Springs, CO 80905 | 2019-12-04 |
| 1437676970 | Cara Boss | Physical Therapy Assistant | 1855 Presidential Hts, Apt 1023, Colorado Springs, CO 80905 | 2017-08-25 |
| 1720537509 | Rhianon Leigh Davis | Physical Therapy Assistant | 810 Arcturus Drive, Colorado Springs, CO 80905 | 2016-09-22 |
| 1861878639 | Melissa Bernstein-linan | Counselor | 1301 S 8th St Ste 200, Colorado Springs, CO 80905 | 2015-08-04 |
| 1376973669 | Kierstie Cameron | Counselor | 875 W. Moreno Ave, Colorado Springs, CO 80905 | 2013-11-22 |
| 1215294301 | Nancy J. Beach | Counselor | 1355 S 8th St Ste 206, Colorado Springs, CO 80905 | 2012-04-13 |
| 1699096107 | Hinds' Feet Adventures | Counselor | 1301 S. Eighth Street, Suite 115, Colorado Springs, CO 80905 | 2010-06-18 |
| 1396067310 | Pinnacle Family Medicine, Pllc | Family Medicine | 1040 S 8th Street, Suite 102, Colorado Springs, CO 80905 | 2010-02-17 |
| 1710154018 | Amy Lee Moore | Counselor | 875 W. Moreno, Colorado Springs, CO 80905 | 2008-05-15 |
| 1386786598 | Pia Hillevi Schalin | Family Medicine | 402 W Bijou, Emergicare Corporation, Colorado Springs, CO 80905 | 2007-02-13 |
| Find all providers in zip 80905 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831753904 | Jeffrey Thomas Lockman | Day Training, Developmentally Disabled Services | 2914 Austin Bluffs Pkwy Ste 100, Colorado Springs, CO 80918-5719 | 2019-04-24 |
| 1861964165 | Theresa A Jordan Dba Trent's Team | Day Training, Developmentally Disabled Services | 3812 E Pikes Peak Ave Ste 205, Colorado Springs, CO 80909-6781 | 2018-12-26 |
| 1679055388 | Craft Care | Day Training, Developmentally Disabled Services | 2049 Legacy Ridge Vw Apt 105, Colorado Springs, CO 80910-4810 | 2018-08-30 |
| 1518462258 | Krzyinc | Day Training, Developmentally Disabled Services | 5049 Ardley Dr, Colorado Springs, CO 80922-2135 | 2018-03-26 |
| 1245742626 | Mk Legacy | Day Training, Developmentally Disabled Services | 422 E Vermijo Ave Ste G16, Colorado Springs, CO 80903-3791 | 2017-10-25 |
| 1073031084 | Swift Behavioral, LLC | Day Training, Developmentally Disabled Services | 5895 Walsh Pt Apt 208, Colorado Springs, CO 80919-2043 | 2017-08-30 |
| 1467977496 | Patricia Beatrice Baugh | Day Training, Developmentally Disabled Services | 145 Ely St, Colorado Springs, CO 80911-2123 | 2017-08-10 |
| 1841737731 | Special Kids Special Families | Day Training, Developmentally Disabled Services | 3450 N Nevada Ave, Colorado Springs, CO 80907-5331 | 2017-01-30 |
| 1821540477 | Melinda L Hanson | Day Training, Developmentally Disabled Services | 20075 Thunder Rd E, Colorado Springs, CO 80908-1110 | 2016-10-31 |
| 1316396526 | Our House Inc. | Day Training, Developmentally Disabled Services | 6750 N Union Blvd, Colorado Springs, CO 80918-6012 | 2016-06-08 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80905 |
Please comment or provide details below to improve the information on BRANDIE HARRISON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.