NPIMap

Organization Active NPI

Wolking Speech, Language, and Feeding Therapy, LLC

  • Hearing and Speech Clinic/Center
  • Canon City, CO
National Provider Identifier
1386049567
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
SLP.0001085 Issued in CO
Legal business name
WOLKING SPEECH, LANGUAGE, AND FEEDING THERAPY, LLC
Practice address
814 Della Vista LN
Canon City, CO 81212-8704
Phone
(719) 269-6865
NPI assigned
Oct 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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

Authorized official

Name
Mrs. Callie Wolking, MA, CCC-SLP
Title
SLP
Phone
(719) 269-6865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X SLP.0001085 CO Primary

Addresses

Primary practice location

814 Della Vista LN
Canon City, CO 81212-8704

Mailing address

814 Della Vista LN
Canon City, CO 81212-8704
Phone (719) 269-6865

Other identifiers 1

IdentifierTypeStateIssuer
30785561MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1386049567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 DELLA VISTA LN",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812128704",
            "telephone_number": "719-269-6865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 DELLA VISTA LN",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812128704",
            "telephone_number": "719-269-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLKING SPEECH, LANGUAGE, AND FEEDING THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-29",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "WOLKING",
        "authorized_official_first_name": "CALLIE",
        "authorized_official_title_or_position": "SLP",
        "authorized_official_telephone_number": "719-269-6865",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "CO",
            "license": "SLP.0001085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30785561",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canon City, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.