Active NPI
Front Range Therapists
- Hearing and Speech Clinic/Center
- Greeley, CO
National Provider Identifier
1104061100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing and Speech Clinic/Center
- Legal business name
- FRONT RANGE THERAPISTS
- Practice address
- 504 E 23Rd Street Rd
Greeley, CO 80631-9049 - Phone
- (970) 381-3183
- NPI assigned
- Dec 5, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jacqueline Lacy Hoyer, MA CCC-SLP
- Title
- Owner
- Phone
- (970) 381-3183
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing and Speech Clinic/Center | 261QH0700X | Primary |
Addresses
Primary practice location
504 E 23Rd Street Rd
Greeley, CO 80631-9049
Mailing address
504 E 23Rd Street Rd
Greeley, CO 80631-9049
Phone (970) 381-3183
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | CO |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228435200000",
"number": "1104061100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 E 23RD STREET RD",
"city": "GREELEY",
"state": "CO",
"postal_code": "806319049",
"telephone_number": "970-381-3183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 E 23RD STREET RD",
"city": "GREELEY",
"state": "CO",
"postal_code": "806319049",
"telephone_number": "970-381-3183"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRONT RANGE THERAPISTS",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-05",
"last_updated": "2008-12-05",
"status": "A",
"authorized_official_last_name": "HOYER",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_middle_name": "LACY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "970-381-3183",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MA CCC-SLP"
},
"taxonomies": [
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.