Individual provider Active NPI

Karen M Fremont Brady, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Lafayette, CO
National Provider Identifier
1407290653
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0001017 Issued in CO
Practice address
1000 W South Boulder Rd Ste 210
Lafayette, CO 80026-2088
Phone
(303) 818-8210
NPI assigned
Apr 18, 2013
Last updated
Sep 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 0001017 CO Primary

Addresses

Primary practice location

1000 W South Boulder Rd Ste 210
Lafayette, CO 80026-2088

Mailing address

2012 Eldorado Dr
Superior, CO 80027-8203
Phone (303) 818-8210

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0001017COMDCommunity Health Worker

NPI Registry JSON

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1407290653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 ELDORADO DR",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800278203",
            "telephone_number": "303-818-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W SOUTH BOULDER RD STE 210",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262088",
            "telephone_number": "303-818-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREMONT BRADY",
        "first_name": "KAREN",
        "middle_name": "M",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-18",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "0001017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.