Active NPI
Colby Prichard, SLP-CCC
- Speech-Language Pathologist
- San Antonio, TX
National Provider Identifier
1023891736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 114906
- Practice address
- 5300 Knollcreek
San Antonio, TX 78247-5858 - Phone
- (210) 356-4100
- NPI assigned
- Aug 16, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 114906 | TX | Primary |
Addresses
Primary practice location
5300 Knollcreek
San Antonio, TX 78247-5858
Mailing address
13715 Oak Pebble
San Antonio, TX 78232-5419
Phone (615) 420-0769
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114906 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692144000000",
"number": "1023891736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13715 OAK PEBBLE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782325419",
"telephone_number": "615-420-0769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 KNOLLCREEK",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782475858",
"telephone_number": "210-356-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICHARD",
"first_name": "COLBY",
"credential": "SLP-CCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-08-16",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "114906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.