Amy Nicole Vallejos, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

615 Russell Street
Walsenburg, CO 81089-2127

Phone

(719) 695-7300

NPI assigned

Jul 13, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1003434382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 SPROULL AVE",
            "city": "WALSENBURG",
            "state": "CO",
            "postal_code": "810891338",
            "telephone_number": "719-989-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 RUSSELL STREET",
            "city": "WALSENBURG",
            "state": "CO",
            "postal_code": "810892127",
            "telephone_number": "719-695-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLEJOS",
        "first_name": "AMY",
        "middle_name": "NICOLE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shoff Smiles, PC
• James Shoff, DMD
• Southern Colorado Developmental Disabilities Services, Inc
• Rhonda Thibault-Lloyd, PT
• Barbara Jo Trujillo, RN
• Vigil Enterprises
• James Theodore Vigil, D.C.
• Jerriann Vigil, PHYSICIAN ASSISTANT
• Sandeep Suresh Vijan, MD
• Solomon Villalon, M.D.

• Speech-Language Pathologist in Walsenburg, CO
• Providers in Walsenburg, CO by specialty
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.