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

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist
Group: 193400000X SINGLE SPECIALTY GROUP
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

IdentifierTypeStateIssuer
02581701MedicaidCO
94851069MedicaidCO

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 6, 2012.

{
    "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

All providers in Fort Collins, CO · Speech-Language Pathologist in Colorado

Sources for this page

Verify at the official NPI Registry.