Kelly Weaver, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12129156

Practice address

709 Goodrich CT
Platteville, CO 80651-7586

Phone

(214) 995-3432

NPI assigned

Jun 20, 2011

Last updated

May 10, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

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.

• Motor Milestones, Inc.

  • Pediatric Physical Therapist
  • Littleton, CO
  • NPI 1013167535
  NPD (past)
• Motor Milestones, Inc.

  • Early Intervention Provider Agency
  • Littleton, CO
  • NPI 1760800767
  NPD (past)

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557446400000",
    "number": "1316232234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 GOODRICH CT",
            "city": "PLATTEVILLE",
            "state": "CO",
            "postal_code": "806517586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 GOODRICH CT",
            "city": "PLATTEVILLE",
            "state": "CO",
            "postal_code": "806517586",
            "telephone_number": "214-995-3432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 W Littleton Blvd",
            "address_2": "Suite 127",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801202156",
            "country_code": "US",
            "telephone_number": "720-684-5877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "KELLY",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2019-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": "12129156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dea M Pehringer, LMT, HHP
• Pioneer Dental Services, PLLC
• Platteville Family Dentistry
• Platteville-Gillcrest Fire Protection District (Platteville Fire Protection District)
• Victorious Cleaning LLC
• Weld County School District Re 1

• Speech-Language Pathologist in Platteville, CO
• Providers in Platteville, CO by specialty
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; 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.