Individual provider Active NPI

Keriann Dunnigan, KERIANN DUNNIGAN

  • Speech-Language Pathologist
  • Colorado Springs, CO
National Provider Identifier
1144561853
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
102 S Tejon St Ste 1100
Colorado Springs, CO 80903-2253
Phone
(512) 377-6318
NPI assigned
Mar 5, 2013
Last updated
Sep 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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 Primary

Addresses

Primary practice location

102 S Tejon St Ste 1100
Colorado Springs, CO 80903-2253

Mailing address

555 Amory St # J
Jamaica Plain, MA 02130-2652
Phone (617) 383-6522

Other practice location 1

555 Amory St # J
Jamaica Plain, MA 02130-2652
Phone (617) 383-6522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NJ, CO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240611004798 CA Practitioner - Qualified Speech Language Pathologist 5991247439 Reassigns benefits to 1 organization
I20240823001977 NJ Practitioner - Qualified Speech Language Pathologist 5991247439 Reassigns benefits to 1 organization
I20240924003732 CO Practitioner - Qualified Speech Language Pathologist 5991247439 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Expressable Therapy PC Speech-Language Pathologist CurrentSince Sep 11, 2024 Accepting new patients
Expressable Speech-Language Pathology, P.C. Speech-Language Pathologist CurrentSince Jul 28, 2024 Accepting new patients
Expressable Therapy of New Jersey PC Speech-Language Pathologist CurrentSince Aug 12, 2024 Accepting new patients

Locations

633 W 5th St
Ofc 2876B
Los Angeles, CA 90071

102 S Tejon St
Ste 1100
Colorado Springs, CO 80903
Phone (514) 851-3224

101 Eisenhower Pkwy
Ste 300
Roseland, NJ 07068
Phone (201) 520-7221

250 Pehle Ave
Ste 200
Saddle Brook, NJ 07663
Phone (201) 474-2113

7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1144561853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 AMORY ST # J",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302652",
            "telephone_number": "617-383-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S TEJON ST STE 1100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809032253",
            "telephone_number": "512-377-6318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 Amory St # J",
            "address_purpose": "LOCATION",
            "city": "Jamaica Plain",
            "state": "MA",
            "postal_code": "021302652",
            "country_code": "US",
            "telephone_number": "617-383-6522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNNIGAN",
        "first_name": "KERIANN",
        "credential": "KERIANN DUNNIGAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-05",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.