Individual provider Active NPI

Amanda Fransen, M.S., CCC-SLP, CET

  • Speech-Language Pathologist
  • Denver, CO
National Provider Identifier
1063015212
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP.0004460 Issued in CO
Practice address
425 S Cherry St Ste 645
Denver, CO 80246-1256
Phone
(303) 834-0883
NPI assigned
Nov 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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 SLP.0004460 CO Primary

Addresses

Primary practice location

425 S Cherry St Ste 645
Denver, CO 80246-1256

Mailing address

425 S Cherry St Ste 645
Denver, CO 80246-1256
Phone (303) 834-0883

Other identifiers 1

IdentifierTypeStateIssuer
9000200690MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL blossomingmindstherapy@gmail.com Direct

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 Science

State licenses

LicenseStateTypeSpecialty
SLP.0004460COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ab Fransen Inc Speech-Language Pathologist CurrentSince Nov 28, 2021 Accepting new patients

Locations

1633 Fillmore St
Ste 390
Denver, CO 80206
Phone (303) 324-7939

425 S Cherry St
Ste 645
Denver, CO 80246
Phone (303) 320-4425

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1063015212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 S CHERRY ST STE 645",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461256",
            "telephone_number": "303-834-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S CHERRY ST STE 645",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461256",
            "telephone_number": "303-834-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANSEN",
        "first_name": "AMANDA",
        "credential": "M.S., CCC-SLP, CET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-19",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0004460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000200690",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "blossomingmindstherapy@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "425 S Cherry St Ste 645",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802461256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.