Individual provider Active NPI

Yessica Villanueva Guerra, MA, CF-SLP

  • Speech-Language Pathologist
  • Colorado Springs, CO
National Provider Identifier
1265114458
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
2776 Janitell Rd
Colorado Springs, CO 80906-4103
Phone
(719) 332-4689
NPI assigned
Aug 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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 Primary

Addresses

Primary practice location

2776 Janitell Rd
Colorado Springs, CO 80906-4103

Mailing address

7861 Sandy Springs PT
Fountain, CO 80817-4081
Phone (910) 644-3835

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240723000249 CO Practitioner - Qualified Speech Language Pathologist 2062958416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Katey Blehm M.a. CCC-SLPGroup PAC ID 3476866880, 13 clinicians

Practice addresses (Care Compare)

2776 Janitell Rd
Colo SPGS, CO 80906-4103
Phone (719) 332-4689

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Katey Blehm M.a. CCC-SLP Speech-Language Pathologist Current Accepting new patients
Katey Blehm M.a. CCC-SLP Speech-Language Pathologist CurrentSince Jul 10, 2024 Accepting new patients

Locations

2776 Janitell Rd
Ofc
Colorado Springs, CO 80906
Phone (719) 332-4689

2776 Janitell Rd
Colorado Springs, CO 80906
Phone (719) 332-4689

6965 Tutt Blvd
Ste 100A
Colorado Springs, CO 80923
Phone (719) 332-4689

Organizations & group practices 2

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": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1265114458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7861 SANDY SPRINGS PT",
            "city": "FOUNTAIN",
            "state": "CO",
            "postal_code": "808174081",
            "telephone_number": "910-644-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2776 JANITELL RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064103",
            "telephone_number": "719-332-4689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA GUERRA",
        "first_name": "YESSICA",
        "credential": "MA, CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "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 Aug 7, 2023; 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.