Active NPI
Kylie Lopez, SLP
- Speech-Language Pathologist
- Colorado Springs, CO
National Provider Identifier
1295473528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- PSLP.0000870
- Practice address
- 2005 Aeroplaza Dr
Colorado Springs, CO 80916-4207 - Phone
- (727) 742-2523
- NPI assigned
- May 25, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | PSLP.0000870 | CO | Primary |
Addresses
Primary practice location
2005 Aeroplaza Dr
Colorado Springs, CO 80916-4207
Mailing address
1020 Washington Ave
Largo, FL 33770-3245
Phone (727) 742-2523
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | securerecords.sanford.html | Rehab For All LLC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSLP.0000870 | CO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653436800000",
"number": "1295473528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 WASHINGTON AVE",
"city": "LARGO",
"state": "FL",
"postal_code": "337703245",
"telephone_number": "727-742-2523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2005 AEROPLAZA DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809164207",
"telephone_number": "727-742-2523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "KYLIE",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-25",
"last_updated": "2022-05-25",
"certification_date": "2022-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CO",
"license": "PSLP.0000870",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "securerecords.sanford.html",
"affiliation": "Y",
"affiliationName": "Rehab For All LLC",
"address_1": "2005 Aeroplaza Dr",
"city": "Colorado Springs",
"state": "CO",
"country_code": "US",
"postal_code": "809164207",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 May 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.