Individual provider Active NPI

Breckan Ann McCormick, M.S CCC-SLP

  • Speech-Language Pathologist
  • Westminster, CO
National Provider Identifier
1285463729
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
6250 Promenade Dr N Apt 351
Westminster, CO 80020-4208
Phone
(320) 808-3916
NPI assigned
Aug 1, 2024
Last updated
Aug 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

6250 Promenade Dr N Apt 351
Westminster, CO 80020-4208

Mailing address

6250 Promenade Dr N Apt 351
Westminster, CO 80020-4208
Phone (320) 808-3916

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, MT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240816003398 NV Practitioner - Qualified Speech Language Pathologist 7719425065 Reassigns benefits to 1 organization
I20241227003146 MT Practitioner - Qualified Speech Language Pathologist 7719425065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Elovee Therapy Services PAGroup PAC ID 2668843962, 6 clinicians

Practice addresses (Care Compare)

3010 Santa Fe CT
FL 1
Missoula, MT 59808-1730
Phone (844) 535-6833

6605 Grand Montecito Pkwy
Suite 100
Las Vegas, NV 89149-0210
Phone (844) 535-6833

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elovee Therapy Services, P.a. Speech-Language Pathologist CurrentSince Aug 14, 2024 Accepting new patients

Locations

400 N Tampa St
Fl 15
Tampa, FL 33602
Phone (844) 435-6833

3010 Santa Fe Ct
Missoula, MT 59808
Phone (406) 219-7233

204 8th St
Marlinton, WV 24954
Phone (202) 803-7979

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": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1285463729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6250 PROMENADE DR N APT 351",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800204208",
            "telephone_number": "320-808-3916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6250 PROMENADE DR N APT 351",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800204208",
            "telephone_number": "320-808-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "BRECKAN",
        "middle_name": "ANN",
        "credential": "M.S CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.