Individual provider Active NPI

Jolena Kimmett, SLP

  • Speech-Language Pathologist
  • Greenwood Village, CO
National Provider Identifier
1104996404
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
12083987 Issued in CO
Practice address
6595 S Dayton St
Suite 1500
Greenwood Village, CO 80111-6128
Phone
(303) 504-9945
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 12083987 CO Primary

Addresses

Primary practice location

6595 S Dayton St
Suite 1500
Greenwood Village, CO 80111-6128

Mailing address

3464 S Willow St
Suite 511
Denver, CO 80231-4531

Other identifiers 1

IdentifierTypeStateIssuer
16931831MedicaidCO

Other names 1

  • Jolena Pighetti Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
12083987COMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104996404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3464 S WILLOW ST",
            "address_2": "SUITE 511",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6595 S DAYTON ST",
            "address_2": "SUITE 1500",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801116128",
            "telephone_number": "303-504-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMMETT",
        "first_name": "JOLENA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "12083987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16931831",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOLENA",
            "last_name": "PIGHETTI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.