Kingdom Pediatric Therapy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

KINGDOM PEDIATRIC THERAPY

Practice address

1067 E US Hwy
PMB 72
Woodland Park, CO 80863

Phone

(970) 214-8113

NPI assigned

Dec 21, 2015

Organization subpart

No

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

Authorized official

Name

Jessica Guida, MA,CCC-SLP

Title

Speech-Language Pathologist

Phone

(970) 214-8113

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450656000000",
    "number": "1104281906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1067 E US HIGHWAY 24",
            "address_2": "PMB 72",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808632120",
            "telephone_number": "970-214-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1067 E US HWY",
            "address_2": "PMB 72",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "80863",
            "telephone_number": "970-214-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-21",
        "last_updated": "2015-12-21",
        "status": "A",
        "authorized_official_last_name": "GUIDA",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "970-214-8113",
        "authorized_official_credential": "MA,CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher D Kaczmar
• Lyla Keeler, LMT/MMP
• Rachel J Keesling, DO
• Kellyrose Thomas PLLC
• Shane Kenne, PTA
• Michael E Kinne, NP
• Kassandra F Kleymann, CCC-SLP
• Kelly McCall Knott, PT
• Laura Louise Kobilan, NP
• Elizabeth Marie Kochis, MM, MT-BC

• Speech-Language Pathologist in Woodland Park, CO
• Providers in Woodland Park, CO by specialty
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; 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.