CMS-1500 Box 24J / 33a • NPI
1366958514
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
1835C0205X (CMS A5)
Licensed & Credentialed Suppliers — Pharmacy, Critical Care
Box 32 Service Location & ZIP+4
25637 CONIFER RD, CONIFER, CO, 80433-9078
✓ 9-Digit EDI 837 ZIP+4 (80433-9078)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1366958514 (PENNY BECKLOFF) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1366958514 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | PENNY BECKLOFF |
| Plain-English Specialty | Licensed & Credentialed Suppliers — Pharmacy, Critical Care NUCC Code: 1835C0205X (Pharmacist, Critical Care) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 25637 CONIFER RD, CONIFER, CO, 80433-9078 |
| Practice Telephone / Fax | Tel: (303) 816-4970 |
| Administrative Mailing Address | 468 TRIPP DR, GOLDEN, CO, 80401-4895 |
| Enumeration & Last Sync | Enumerated: 2017-12-26 | CMS Record Updated: 2017-12-26 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (1835C0205X)
What Does Taxonomy Code 1835C0205X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1835C0205X translates to:
"Licensed & Credentialed Suppliers — Pharmacy, Critical Care"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (PENNY BECKLOFF)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
1835C0205X — Pharmacist, Critical CarePlain English: Licensed & Credentialed Suppliers — Pharmacy, Critical Care | State: CT | License: 16388 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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