Individual provider Active NPI

Crystal Raabe, M.S.

  • Speech-Language Pathologist
  • Golden, CO
National Provider Identifier
1255600391
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP.0002552 Issued in CO
Practice address
1829 Denver West Dr # 27
Golden, CO 80401-3120
Phone
(303) 982-6500
NPI assigned
Dec 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7381 CA
Speech-Language Pathologist 235Z00000X SLP.0002552 CO Primary

Addresses

Primary practice location

1829 Denver West Dr # 27
Golden, CO 80401-3120

Mailing address

1829 Denver West Dr # 27
Golden, CO 80401-3120
Phone (303) 982-6500

Other names 1

  • Crystal Robertson Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7381CAMDSpeech-Language Assistant
SLP.0002552COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Learning Connection, LLC Speech-Language Pathologist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1255600391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 DENVER WEST DR # 27",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804013120",
            "telephone_number": "303-982-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 DENVER WEST DR # 27",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804013120",
            "telephone_number": "303-982-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAABE",
        "first_name": "CRYSTAL",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-19",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "7381",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0002552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "ROBERTSON",
            "credential": "M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Golden, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.