Organization Active NPI

The SLP Lab, LLC

  • Speech-Language Pathologist
  • Buena Vista, CO
National Provider Identifier
1376276923
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
THE SLP LAB, LLC
Practice address
30400 Mountainside Dr
Buena Vista, CO 81211-8700
Phone
(425) 891-4120
NPI assigned
Jul 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Authorized official

Name
Suzanne Henriquez, MA
Title
Speech-Language Pathologist
Phone
(425) 891-4120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

30400 Mountainside Dr
Buena Vista, CO 81211-8700

Mailing address

30400 Mountainside Dr
Buena Vista, CO 81211-8700
Phone (425) 891-4120

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL suzanne@theslplab.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656633600000",
    "number": "1376276923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30400 MOUNTAINSIDE DR",
            "city": "BUENA VISTA",
            "state": "CO",
            "postal_code": "812118700",
            "telephone_number": "425-891-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30400 MOUNTAINSIDE DR",
            "city": "BUENA VISTA",
            "state": "CO",
            "postal_code": "812118700",
            "telephone_number": "425-891-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SLP LAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-01",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A",
        "authorized_official_last_name": "HENRIQUEZ",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "425-891-4120",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "suzanne@theslplab.com",
            "affiliation": "N",
            "endpointDescription": "Primary business address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "30400 Mountainside Dr",
            "city": "Buena Vista",
            "state": "CO",
            "country_code": "US",
            "postal_code": "812118700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Buena Vista, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.