Active NPI
Stephanie Alexis Balunda, SLP
- Speech-Language Pathologist
- Greeley, CO
National Provider Identifier
1164055745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP.0003408
- Practice address
- Uchealth Physical Therapy and Rehabilitation Clinic
6767 West 29TH St.
Greeley, CO 80634 - Phone
- (970) 652-2477
- NPI assigned
- Feb 21, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP.0003408 | CO | Primary |
Addresses
Primary practice location
Uchealth Physical Therapy and Rehabilitation Clinic
6767 West 29TH St.
Greeley, CO 80634
Mailing address
6767 W 29TH Street
1St Floor
Greeley, CO 80634
Phone (970) 652-2477
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582243200000",
"number": "1164055745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6767 W 29TH STREET",
"address_2": "1ST FLOOR",
"city": "GREELEY",
"state": "CO",
"postal_code": "80634",
"telephone_number": "970-652-2477",
"fax_number": "970-313-2777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UCHEALTH PHYSICAL THERAPY AND REHABILITATION CLINIC",
"address_2": "6767 WEST 29TH ST.",
"city": "GREELEY",
"state": "CO",
"postal_code": "80634",
"telephone_number": "970-652-2477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALUNDA",
"first_name": "STEPHANIE",
"middle_name": "ALEXIS",
"name_prefix": "Miss",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-21",
"last_updated": "2020-02-21",
"certification_date": "2020-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CO",
"license": "SLP.0003408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.