Active NPI
Neuro Revival Speech Therapy
- Hearing and Speech Clinic/Center
- Parker, CO
National Provider Identifier
1154104503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing and Speech Clinic/Center
- Legal business name
- NEURO REVIVAL SPEECH THERAPY
- Practice address
- 11451 Lovage Way
Parker, CO 80134-3219 - Phone
- (432) 634-7126
- NPI assigned
- Aug 17, 2023
- Last updated
- Aug 17, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Devin Lemmon, MS, CCC-SLP
- Title
- Speech Language Pathologist
- Phone
- (432) 634-7126
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing and Speech Clinic/Center | 261QH0700X | Primary |
Addresses
Primary practice location
11451 Lovage Way
Parker, CO 80134-3219
Mailing address
11451 Lovage Way
Parker, CO 80134-3219
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Speech-Language Pathologist
- Irving, TX
- NPI 1841731866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692230400000",
"number": "1154104503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11451 LOVAGE WAY",
"city": "PARKER",
"state": "CO",
"postal_code": "801343219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11451 LOVAGE WAY",
"city": "PARKER",
"state": "CO",
"postal_code": "801343219",
"telephone_number": "432-634-7126"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEURO REVIVAL SPEECH THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-17",
"last_updated": "2023-08-17",
"certification_date": "2023-08-17",
"status": "A",
"authorized_official_last_name": "LEMMON",
"authorized_official_first_name": "DEVIN",
"authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "432-634-7126",
"authorized_official_credential": "MS, CCC-SLP"
},
"taxonomies": [
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parker, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.