Individual provider Active NPI

McKenna Spence-Olson

  • Speech-Language Pathologist
  • Fort Collins, CO
National Provider Identifier
1306520689
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
PSLP.0001161 Issued in CO
Practice address
2290 E Prospect Rd Ste 4
Fort Collins, CO 80525-9768
Phone
(970) 305-4730
NPI assigned
Jun 14, 2023
Last updated
Jun 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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.0001161 CO Primary

Addresses

Primary practice location

2290 E Prospect Rd Ste 4
Fort Collins, CO 80525-9768

Mailing address

2290 E Prospect Rd Ste 4
Fort Collins, CO 80525-9768
Phone (970) 305-4730

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

LicenseStateTypeSpecialty
PSLP.0001161COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve Therapy LLC Speech-Language Pathologist CurrentSince Jun 18, 2023 Accepting new patients

Locations

2290 E Prospect Rd
Ste 4
Fort Collins, CO 80525
Phone (970) 305-4730

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": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1306520689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2290 E PROSPECT RD STE 4",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805259768",
            "telephone_number": "970-305-4730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2290 E PROSPECT RD STE 4",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805259768",
            "telephone_number": "970-305-4730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCE-OLSON",
        "first_name": "MCKENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "PSLP.0001161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.