Individual provider Active NPI

Shaelie Davidson

  • Speech-Language Pathologist
  • Colorado Springs, CO
National Provider Identifier
1164336111
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
PSLP.0001447 Issued in CO
Practice address
4565 Hilton Pkwy Ste 101
Colorado Springs, CO 80907-3540
Phone
(720) 542-8737
Fax
(720) 242-8085
NPI assigned
Sep 29, 2026
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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 PSLP.0001447 CO Primary

Addresses

Primary practice location

4565 Hilton Pkwy Ste 101
Colorado Springs, CO 80907-3540

Mailing address

4565 Hilton Pkwy Ste 101
Colorado Springs, CO 80907-3540
Phone (720) 542-8737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1164336111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4565 HILTON PKWY STE 101",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073540",
            "telephone_number": "720-542-8737",
            "fax_number": "720-242-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4565 HILTON PKWY STE 101",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073540",
            "telephone_number": "720-542-8737",
            "fax_number": "720-242-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "SHAELIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-29",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "PSLP.0001447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.