Active NPI
Amy Reed Larson, M.S. CCC-SLP
- Speech-Language Pathologist
- Carbondale, CO
National Provider Identifier
1124360243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 334752
- Practice address
- 400 Sopris Ave
Carbondale, CO 81623-2038 - Phone
- (970) 384-6000
- NPI assigned
- Mar 27, 2013
- 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 | |||
| Speech-Language Pathologist | 235Z00000X | 334752 | CO | Primary |
Addresses
Primary practice location
400 Sopris Ave
Carbondale, CO 81623-2038
Mailing address
1204 Palmer Ave
Glenwood Springs, CO 81601-3705
Phone (407) 712-3771
Other names 1
- Miss Amy Laurel Reed
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 |
|---|---|---|---|
| 334752 | CO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roaring Fork School District | Current | Accepting new patients |
Locations
400 Sopris Ave
Carbondale, CO 81623
Phone (970) 366-9692
Interoperability endpoints
- https://api.platform.athenahealth.com/14034/brand/3/csg/26/fhir/r4
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Local Education Agency (LEA)
- Carbondale, CO
- NPI 1194853150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701820800000",
"number": "1124360243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1204 PALMER AVE",
"city": "GLENWOOD SPRINGS",
"state": "CO",
"postal_code": "816013705",
"telephone_number": "407-712-3771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 SOPRIS AVE",
"city": "CARBONDALE",
"state": "CO",
"postal_code": "816232038",
"telephone_number": "970-384-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSON",
"first_name": "AMY",
"middle_name": "REED",
"name_prefix": "Mrs.",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-27",
"last_updated": "2023-12-06",
"certification_date": "2023-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CO",
"license": "334752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "REED",
"middle_name": "LAUREL",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Carbondale, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.