Healthcare Provider Details

I. General information

NPI: 1992637128
Provider Name (Legal Business Name): MS. REBECCA ANIZELL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BECKY ANIZELL

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6950 COMPASS BEND DR
COLORADO SPRINGS CO
80927-9647
US

IV. Provider business mailing address

6950 COMPASS BEND DR
COLORADO SPRINGS CO
80927-9647
US

V. Phone/Fax

Practice location:
  • Phone: 719-205-2294
  • Fax:
Mailing address:
  • Phone: 719-205-2294
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: