Active NPI
Kelly Josephine Berrigan
- Speech-Language Pathologist
- Aurora, CO
National Provider Identifier
1114690922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 005005
- Practice address
- 15701 E 1St Ave
Aurora, CO 80011-9060 - Phone
- (303) 344-8060
- NPI assigned
- Jul 28, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 242.006493 | IL | |
| Speech-Language Pathologist | 235Z00000X | 005005 | CO | Primary |
Addresses
Primary practice location
15701 E 1St Ave
Aurora, CO 80011-9060
Mailing address
150 S Harrison St Unit 4
Denver, CO 80209-3155
Phone (847) 826-7107
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005005 | CO | MD | Speech-Language Pathologist |
| 242.006493 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701302400000",
"number": "1114690922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 S HARRISON ST UNIT 4",
"city": "DENVER",
"state": "CO",
"postal_code": "802093155",
"telephone_number": "847-826-7107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15701 E 1ST AVE",
"city": "AURORA",
"state": "CO",
"postal_code": "800119060",
"telephone_number": "303-344-8060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRIGAN",
"first_name": "KELLY",
"middle_name": "JOSEPHINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-28",
"last_updated": "2023-11-30",
"certification_date": "2023-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "242.006493",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CO",
"license": "005005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.