Shaela Hepworth, SLPA

Individual provider Active NPI Speech-Language Pathologist · Peyton, CO

NPI 1336775824 · NPPES record last updated Mar 7, 2025

Key facts

NPI
1336775824
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
13039 Falcon Hwy
Peyton, CO 80831-8024
Phone
(719) 209-3365
NPI assigned
Mar 17, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CO

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250309000016 CO Practitioner - Qualified Speech Language Pathologist 0547781478 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Chuckies Place Speech-Language Assistant Current
since Feb 1, 2025
Accepting new patients
Chuckies Place Past
since Feb 1, 2025
Accepting new patients

Locations

13039 Falcon Hwy
Peyton, CO 80831
Phone (719) 209-3365

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Yes

Addresses

Primary practice location

13039 Falcon Hwy
Peyton, CO 80831-8024

Mailing address

13039 Falcon Hwy
Peyton, CO 80831-8024
Phone (719) 209-3365

Other names

  • Shaela Haney Former name

Other providers in Peyton, CO

All providers in Peyton, CO · Speech-Language Pathologist in Colorado

Sources for this page

Verify at the official NPI Registry.