Mary Elizabeth Trifiro, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP.0004017 Issued in CO

Practice address

126 W D St Ste 100C
Pueblo, CO 81003-4430

Phone

(719) 621-1182

Fax

(719) 931-1182

NPI assigned

Jan 28, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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 and National Provider Directory roles.

• Pueblo Speech and Neurological Rehabilitation Center

  • Speech-Language Pathologist
  • Pueblo, CO
  • NPI 1497362271
  NPD

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1144811522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W 29TH ST # 254",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081002",
            "telephone_number": "719-621-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 W D ST STE 100C",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810034430",
            "telephone_number": "719-621-1182",
            "fax_number": "719-931-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIFIRO",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-28",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0004017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Transitions Clinic
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• Trifecta Family Wellness LLC
• Abby Trinh, DO
• Trinity Life Gardens
• Jim M. Trione, M.D.
• Triple RRR
• Adelia Dawnene Tripp, LCSW

• Speech-Language Pathologist in Pueblo, CO
• Providers in Pueblo, 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 Jun 29, 2022; 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.