Individual provider Active NPI

Sandra M Ganas, M.ED. CCC-SLP

  • Speech-Language Pathologist
  • Aurora, CO
National Provider Identifier
1033285002
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0002405 Issued in CO
Practice address
15771 E 1St Ave
Aurora, CO 80011-9023
Phone
(719) 602-9692
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA 6425 FL
Speech-Language Pathologist 235Z00000X 0002405 CO Primary

Addresses

Primary practice location

15771 E 1St Ave
Aurora, CO 80011-9023

Mailing address

9019 S Yosemite St Unit 2614
Lone Tree, CO 80124-2959
Phone (719) 602-9692

Other identifiers 1

IdentifierTypeStateIssuer
886040800MedicaidFL

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
0002405COMDSpeech-Language Pathologist
SA 6425FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1033285002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9019 S YOSEMITE ST UNIT 2614",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801242959",
            "telephone_number": "719-602-9692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15771 E 1ST AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800119023",
            "telephone_number": "719-602-9692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANAS",
        "first_name": "SANDRA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "M.ED. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 6425",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "0002405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "886040800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.