Holly Kosanovich, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

403 Summit Blvd Unit 204
Broomfield, CO 80021-8253

Phone

(720) 401-2139

NPI assigned

Jan 4, 2018

Last updated

Jan 10, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Keefe Memorial Health Service District

  dba Keefe Memorial Hospital

  • Critical Access Hospital
  • Cheyenne Wells, CO
  • NPI 1366840688
  Medicare reassignment NPD
• J Michael King MD PC

  dba Peak ENT and Voice Center

  • Otolaryngology Physician
  • Broomfield, CO
  • NPI 1104113430
  Medicare reassignment
• Center for Vocal Health, Inc.

  • Speech-Language Pathologist
  • Broomfield, CO
  • NPI 1467097063
  Authorized official Same address or phone
• Keefe Memorial Health Service District

  dba Kit Carson Clinic

  • Rural Health Clinic/Center
  • Kit Carson, CO
  • NPI 1457749608
  NPD
• Keefe Memorial Health Service District

  dba Prairie View Clinic

  • Rural Health Clinic/Center
  • Cheyenne Wells, CO
  • NPI 1396143574
  NPD (past)

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

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1144737719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6282 KILMER LOOP UNIT 204",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "804037620",
            "telephone_number": "574-386-4669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 SUMMIT BLVD UNIT 204",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800218253",
            "telephone_number": "720-401-2139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1030 Johnson Rd",
            "address_purpose": "LOCATION",
            "city": "Golden",
            "state": "CO",
            "postal_code": "804016003",
            "country_code": "US",
            "telephone_number": "720-401-2139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOSANOVICH",
        "first_name": "HOLLY",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-04",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Kochevar, D.C.
• Breana Lynn Koffler, PHYSICAL THERAPIST
• Elisabeth Margarita Komlos-Hrobsky, PH.D
• Konda Chiropractic LLC (Chiro Now)
• Stephanie Konter-O'Hara
• Adam Kosofsky, OTR/L
• Tricia Lynn Kostner-Nicholson, M.S. CCC-SLP
• Sarah Kraft
• Marsha L Kravetz, LMFT, LPC
• Kristin Lavelle

• Speech-Language Pathologist in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.