Individual provider Active NPI

Emily O'Shea, MA, CCC-SLP, CBIS

  • Speech-Language Pathologist
  • Englewood, CO
National Provider Identifier
1043830169
Registry record updated Apr 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2400 Issued in CO
Practice address
3425 S Clarkson St
Englewood, CO 80113-2899
Phone
(303) 789-8448
NPI assigned
Apr 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2400 CO Primary

Addresses

Primary practice location

3425 S Clarkson St
Englewood, CO 80113-2899

Mailing address

6611 Lamar St
Arvada, CO 80003-4057

Other identifiers 2

IdentifierTypeStateIssuer
2400OtherCOCOLORADO DEPARTMENT OF REGULATORY AGENCY
14088844OtherAMERICAN SPEECH LANGUAGE AND HEARING ASSOCIATION

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Eoshea@craighospital.org

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 Arts

State licenses

LicenseStateTypeSpecialty
2400COMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: eoshea@craighospital.org

NPI Registry JSON

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

{
    "created_epoch": "1587168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587168000000",
    "number": "1043830169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6611 LAMAR ST",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800034057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 S CLARKSON ST",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132899",
            "telephone_number": "303-789-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'SHEA",
        "first_name": "EMILY",
        "credential": "MA, CCC-SLP, CBIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-18",
        "last_updated": "2020-04-18",
        "certification_date": "2020-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "2400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO DEPARTMENT OF REGULATORY AGENCY",
            "identifier": "2400",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH LANGUAGE AND HEARING ASSOCIATION",
            "identifier": "14088844",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Eoshea@craighospital.org",
            "affiliation": "N",
            "address_1": "3425 S Clarkson St",
            "city": "Englewood",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801132899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.