Firefly Pediatric Therapies, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

FIREFLY PEDIATRIC THERAPIES, LLC

Practice address

9205 Ironwood Way
Highlands Ranch, CO 80129-6431

Phone

(817) 909-3948

NPI assigned

Feb 7, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Randa Avance, MS CCC-SLP; IBCLCNPI 1437401163

Title

Owner

Phone

(817) 909-3948

Specialties & licenses 3

Addresses

Other names 1

• Firefly Pediatric Therapies Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Randa McCall Avance, MS CCC-SLP

  • Speech-Language Pathologist
  • Arvada, CO
  • NPI 1437401163
  NPD Authorized official

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1245094515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9205 IRONWOOD WAY",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801296431",
            "telephone_number": "817-909-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9205 IRONWOOD WAY",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801296431",
            "telephone_number": "817-909-3948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIREFLY PEDIATRIC THERAPIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "AVANCE",
        "authorized_official_first_name": "RANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-909-3948",
        "authorized_official_credential": "MS CCC-SLP; IBCLC"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Firefly Pediatric Therapies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Speech-Language Pathologist in Highlands Ranch, CO
• Providers in Highlands Ranch, CO by specialty
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.