Active NPI
Cheryl Young, MS, CCC/SLP
- Speech-Language Pathologist
- Monument, CO
National Provider Identifier
1083484083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 257037
- Practice address
- Prairie Winds Elementary School
790 East Kings Deer Point
Monument, CO 80132 - Phone
- (719) 559-0800
- NPI assigned
- Jan 2, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 257037 | CO | Primary |
Addresses
Primary practice location
Prairie Winds Elementary School
790 East Kings Deer Point
Monument, CO 80132
Mailing address
18055 Bankhurst CT
Monument, CO 80132-2228
Phone (719) 231-6194
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
| License | State | Type | Specialty |
|---|---|---|---|
| 257037 | CO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704153600000",
"number": "1083484083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18055 BANKHURST CT",
"city": "MONUMENT",
"state": "CO",
"postal_code": "801322228",
"telephone_number": "719-231-6194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PRAIRIE WINDS ELEMENTARY SCHOOL",
"address_2": "790 EAST KINGS DEER POINT",
"city": "MONUMENT",
"state": "CO",
"postal_code": "80132",
"telephone_number": "719-559-0800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "CHERYL",
"name_prefix": "Mrs.",
"credential": "MS, CCC/SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-02",
"last_updated": "2024-01-02",
"certification_date": "2023-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CO",
"license": "257037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monument, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.