Active NPI
The SLP Lab, LLC
- Speech-Language Pathologist
- Buena Vista, CO
National Provider Identifier
1376276923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | suzanne@theslplab.com | Direct |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Speech-Language Pathologist
- Mission Viejo, CA
- NPI 1821389339
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.