Active NPI
Tyler Millard, MS, CF-SLP
- Speech-Language Pathologist
- Carbondale, CO
National Provider Identifier
1336870898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP.0005460
- Practice address
- 400 Sopris Ave
Carbondale, CO 81623-2038 - Phone
- (623) 289-0217
- NPI assigned
- Jun 23, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | AZ | ||
| Speech-Language Pathologist | 235Z00000X | SLP.0005460 | CO | Primary |
Addresses
Primary practice location
400 Sopris Ave
Carbondale, CO 81623-2038
Mailing address
52089 Highway 6 Apt A211
Glenwood Springs, CO 81601-2823
Phone (435) 414-4304
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP.0005460 | CO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701820800000",
"number": "1336870898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52089 HIGHWAY 6 APT A211",
"city": "GLENWOOD SPRINGS",
"state": "CO",
"postal_code": "816012823",
"telephone_number": "435-414-4304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 SOPRIS AVE",
"city": "CARBONDALE",
"state": "CO",
"postal_code": "816232038",
"telephone_number": "623-289-0217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLARD",
"first_name": "TYLER",
"credential": "MS, CF-SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-23",
"last_updated": "2023-12-06",
"certification_date": "2023-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CO",
"license": "SLP.0005460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carbondale, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.