Active NPI
Dee Shuler-Woodard II
- Speech-Language Pathologist
- Longmont, CO
National Provider Identifier
1194825968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 0165901
- Practice address
- 615 Mount Evans St
Longmont, CO 80501-4635 - Phone
- (303) 678-0818
- Fax
- (303) 678-0818
- NPI assigned
- Sep 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 0165901 | CO | Primary |
Addresses
Primary practice location
615 Mount Evans St
Longmont, CO 80501-4635
Mailing address
615 Mount Evans St
Longmont, CO 80501-4635
Phone (303) 678-0818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 53255879 | Medicaid | CO |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0165901 | CO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194825968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 MOUNT EVANS ST",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805014635",
"telephone_number": "303-678-0818",
"fax_number": "303-678-0818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 MOUNT EVANS ST",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805014635",
"telephone_number": "303-678-0818",
"fax_number": "303-678-0818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHULER-WOODARD",
"first_name": "DEE",
"name_suffix": "II",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CO",
"license": "0165901",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "53255879",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.