Individual provider Active NPI

Linda S Bechtol, SLP

  • Speech-Language Pathologist
  • Denver, CO
National Provider Identifier
1154775773
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0000761 Issued in CO
Practice address
535 E Mississippi Ave
Denver, CO 80210-1608
Phone
(303) 777-5580
Fax
(303) 552-2064
NPI assigned
Apr 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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 0000761 CO Primary

Addresses

Primary practice location

535 E Mississippi Ave
Denver, CO 80210-1608

Mailing address

535 E Mississippi Ave
Denver, CO 80210-1608
Phone (303) 777-5580

Other identifiers 1

IdentifierTypeStateIssuer
0000761OtherCOSLP LICENSE#

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

State licenses

LicenseStateTypeSpecialty
0000761COMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1154775773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 E MISSISSIPPI AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802101608",
            "telephone_number": "303-777-5580",
            "fax_number": "303-552-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 E MISSISSIPPI AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802101608",
            "telephone_number": "303-777-5580",
            "fax_number": "303-552-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECHTOL",
        "first_name": "LINDA",
        "middle_name": "S",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "0000761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SLP LICENSE#",
            "identifier": "0000761",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.