Individual provider Active NPI

Krysta Grimm, M.S. CFY-SLP

  • Speech-Language Pathologist
  • Littleton, CO
National Provider Identifier
1225574627
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
PSLP.0000195 Issued in CO
Practice address
4644 S Garland Way
Littleton, CO 80123-1006
Phone
(719) 290-1248
NPI assigned
Jan 10, 2017
Last updated
Jan 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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.0000195 CO Primary

Addresses

Primary practice location

4644 S Garland Way
Littleton, CO 80123-1006

Mailing address

4644 S Garland Way
Littleton, CO 80123-1006
Phone (719) 290-1248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240221001871 CO Practitioner - Qualified Speech Language Pathologist 4486098159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Denver Speech and Language, Inc.Group PAC ID 6507040813, 4 clinicians

Practice addresses (Care Compare)

3535 W 44TH Ave
Denver, CO 80211-1313
Phone 30399665107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PSLP.0000195COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Speech and Language, Inc. Speech-Language Pathologist CurrentSince Jan 30, 2024 Accepting new patients

Locations

3535 W 44th Ave
Denver, CO 80211
Phone (303) 539-9362

4271 Lowell Blvd
Denver, CO 80211
Phone (303) 495-6987

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1225574627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4644 S GARLAND WAY",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801231006",
            "telephone_number": "719-290-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4644 S GARLAND WAY",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801231006",
            "telephone_number": "719-290-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMM",
        "first_name": "KRYSTA",
        "credential": "M.S. CFY-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "PSLP.0000195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.