Active NPI
Josi Amanda Wagner Berman, M.S., CCC-SLP
- Speech-Language Pathologist
- Golden, CO
National Provider Identifier
1154529402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 0000037
- Practice address
- 626 Golden Eagle Cir
Golden, CO 80401-0909 - Phone
- (303) 883-2293
- Fax
- (866) 543-7981
- NPI assigned
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 12040893 | AL | |
| Speech-Language Pathologist | 235Z00000X | 0000037 | CO | Primary |
Addresses
Primary practice location
626 Golden Eagle Cir
Golden, CO 80401-0909
Mailing address
626 Golden Eagle Cir
Golden, CO 80401-0909
Phone (303) 883-2293
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000037 | Other | CO | COLORADO LICENSE # |
| 30-0124329 | Other | CO | TLC SPEECH THERAPY, INC. |
| 03051781 | Medicaid | CO | |
| 12040893 | Other | AL | AMERICAN SPEECH LANGUAGE |
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12040893 | AL | MD | Speech-Language Pathologist |
| 0000037 | CO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395619200000",
"number": "1154529402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "626 GOLDEN EAGLE CIR",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804010909",
"telephone_number": "303-883-2293",
"fax_number": "866-543-7981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "626 GOLDEN EAGLE CIR",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804010909",
"telephone_number": "303-883-2293",
"fax_number": "866-543-7981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER BERMAN",
"first_name": "JOSI",
"middle_name": "AMANDA",
"name_prefix": "Mrs.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-09",
"last_updated": "2014-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AL",
"license": "12040893",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CO",
"license": "0000037",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO LICENSE #",
"identifier": "0000037",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TLC SPEECH THERAPY, INC.",
"identifier": "30-0124329",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03051781",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN SPEECH LANGUAGE",
"identifier": "12040893",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Golden, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.