Individual provider Active NPI

Martha Lynn Anderson, CCC-SLP

  • Speech-Language Pathologist
  • Greenwood Village, CO
National Provider Identifier
1134530322
Registry record updated May 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
83 Issued in CO
Practice address
7935 E Prentice Ave
Suite 104W
Greenwood Village, CO 80111-2708
Phone
(303) 756-0282
NPI assigned
May 11, 2014
Last updated
May 11, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2014

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 83 CO Primary

Addresses

Primary practice location

7935 E Prentice Ave
Suite 104W
Greenwood Village, CO 80111-2708

Mailing address

1780 S Poplar St
Denver, CO 80224-2065
Phone (303) 250-7062

Other names 1

  • Ms. M. Lynn Anderson Professional 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

State licenses

LicenseStateTypeSpecialty
83COMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1399766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399766400000",
    "number": "1134530322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 S POPLAR ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802242065",
            "telephone_number": "303-250-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7935 E PRENTICE AVE",
            "address_2": "SUITE 104W",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112708",
            "telephone_number": "303-756-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MARTHA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-11",
        "last_updated": "2014-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "83",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M.",
            "last_name": "ANDERSON",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "CCC-SLP",
            "code": "2",
            "type": "Professional 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 May 11, 2014; 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.