Tintzman SLP
Organization Active NPI Speech-Language Pathologist · Fort Collins, CO
NPI 1306190830 · NPPES record last updated Nov 6, 2012
Key facts
- NPI
- 1306190830
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 12111845 (CO)
- Legal business name
- TINTZMAN SLP
- Practice address
- 6933 Rosemont CT
Fort Collins, CO 80525-6969 - Phone
- (970) 689-3333
- Fax
- (970) 689-3337
- NPI assigned
- Nov 6, 2012
- Organization subpart
- No
Authorized official
- Name
- Kristin L Fisk, MS,CCC,SLP
- Title
- Owner/Therapist
- Phone
- (970) 689-3333
Practitioners 1
-
Kristin Lynn Tintzman, M.S. CCC-SLP
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | 12111845 | CO | Yes |
Addresses
Primary practice location
6933 Rosemont CT
Fort Collins, CO 80525-6969
Mailing address
6933 Rosemont CT
Fort Collins, CO 80525-6969
Phone (970) 689-3333
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02581701 | Medicaid | CO | |
| 94851069 | Medicaid | CO |
NPI Registry JSON
{
"created_epoch": "1352160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352160000000",
"number": "1306190830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6933 ROSEMONT CT",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805256969",
"telephone_number": "970-689-3333",
"fax_number": "970-689-3337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6933 ROSEMONT CT",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805256969",
"telephone_number": "970-689-3333",
"fax_number": "970-689-3337"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TINTZMAN SLP",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-06",
"last_updated": "2012-11-06",
"status": "A",
"authorized_official_last_name": "FISK",
"authorized_official_first_name": "KRISTIN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "970-689-3333",
"authorized_official_credential": "MS,CCC,SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "CO",
"license": "12111845",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02581701",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "94851069",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
- Tonia Timmons
- Adam McCarthy Timock
- Timothy M. Owens DDS, PC
- Colleen Marie Timpe
- Kathryn A Tinich
- Kristin Lynn Tintzman
- Tiny Tree OT, LLC
- Bianca Tippie
- Steven B Tippin
- Carrie A Tobin
All providers in Fort Collins, CO · Speech-Language Pathologist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.