Individual provider Active NPI

Angelina Rose Ganzon Pelikan

  • Speech-Language Pathologist
  • Colorado Springs, CO
National Provider Identifier
1295650976
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
PSLP.0001563 Issued in CO
Practice address
780 Railscape VW Apt 107
Colorado Springs, CO 80921-4057
Phone
(630) 770-3918
NPI assigned
Aug 12, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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 PSLP.0001563 CO Primary

Addresses

Primary practice location

780 Railscape VW Apt 107
Colorado Springs, CO 80921-4057

Mailing address

780 Railscape VW Apt 107
Colorado Springs, CO 80921-4057
Phone (630) 770-3918

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

NPI Registry JSON

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

{
    "created_epoch": "1786492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1295650976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 RAILSCAPE VW APT 107",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809214057",
            "telephone_number": "630-770-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 RAILSCAPE VW APT 107",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809214057",
            "telephone_number": "630-770-3918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELIKAN",
        "first_name": "ANGELINA ROSE",
        "middle_name": "GANZON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-12",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "PSLP.0001563",
            "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 12, 2026; 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.