Individual provider Active NPI

Amy Reed Larson, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Carbondale, CO
National Provider Identifier
1124360243
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
334752 Issued in CO
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

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
334752COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Roaring Fork School District CurrentSince Dec 10, 2023 Accepting new patients

Locations

400 Sopris Ave
Carbondale, CO 81623
Phone (970) 366-9692

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.