MEDICARE: TAYLOR NICOLE RAKES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician		CO

General Provider Information

NPI Number	:	1114538725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAYLOR NICOLE RAKES

Provider Business Mailing Address
First Line	:	2233 ACADEMY PL STE 201
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80909-1679
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2233 ACADEMY PL STE 201
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80909-1679
Country	:	US
Telephone Number	:	719-597-0822
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2020
Last Update Date	:	08/17/2020

Similar Medicare Providers

1912582925 — SAMUEL FREEMAN BCABA
Practice Location Address:

2233 ACADEMY PL STE 102
COLORADO SPRINGS, CO
80909-1679

Practice Phone: 570-460-2202
Practice Fax:

1639372741 — MS. MARSHA CARNAHAN LMT
Practice Location Address:

2233 ACADEMY PL STE 50
COLORADO SPRINGS, CO
80909-1679

Practice Phone: 719-347-9309
Practice Fax: 719-347-9311

1881173474 — PARU SHAH NELSON
Practice Location Address:

2233 ACADEMY PL STE 201
COLORADO SPRINGS, CO
80909-1679

Practice Phone: 719-597-0822
Practice Fax:

1528524220 — JESSICA JOHNSON
Practice Location Address:

2233 ACADEMY PL STE 201
COLORADO SPRINGS, CO
80909-1679

Practice Phone: 719-597-0822
Practice Fax:

1811509045 — KENNEDY SCHINDLER
Practice Location Address:

2233 ACADEMY PL STE 201
COLORADO SPRINGS, CO
80909-1679

Practice Phone: 719-597-0822
Practice Fax:

1821603473 — AMY SHANDY, SPEECH-LANGUAGE PATHOLOGIST, LLC
Practice Location Address:

2233 ACADEMY PL STE 201
COLORADO SPRINGS, CO
80909-1679

Practice Phone: 719-597-0822
Practice Fax: 719-599-4606

Directions to “ TAYLOR NICOLE RAKES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.