Active NPI
Clare Emily Flynn
- Student in an Organized Health Care Education/Training Program
- Berthoud, CO
National Provider Identifier
1407581598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- PSLP.0000960
- Practice address
- 855 Franklin Ave
Berthoud, CO 80513-1158 - Phone
- (970) 532-2683
- NPI assigned
- Jul 21, 2022
- Last updated
- Aug 8, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | PSLP.0000960 | CO | Primary |
| Speech-Language Pathologist | 235Z00000X | PSLP.0000960 | CO |
Addresses
Primary practice location
855 Franklin Ave
Berthoud, CO 80513-1158
Mailing address
2401 W Pflugerville Pkwy Apt 1013
Round Rock, TX 78664-2461
Phone (860) 471-7467
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSLP.0000960 | CO | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659916800000",
"number": "1407581598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 W PFLUGERVILLE PKWY APT 1013",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786642461",
"telephone_number": "860-471-7467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 FRANKLIN AVE",
"city": "BERTHOUD",
"state": "CO",
"postal_code": "805131158",
"telephone_number": "970-532-2683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLYNN",
"first_name": "CLARE",
"middle_name": "EMILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-21",
"last_updated": "2022-08-08",
"certification_date": "2022-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CO",
"license": "PSLP.0000960",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CO",
"license": "PSLP.0000960",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berthoud, CO
- William Rex Eland, O.D.
- Theresa Eriksen, OTR
- Executive Physical Therapy, Inc.
- Eye Specialists of West County, P.C.
- Craig P. Farson, D.D.S.
- Suzanna Jean Foley, LPC
- Karl Ray Foreman, RPH PHARMACIST
- Founders Healthcare, LLC (Preferred Homecare)
- Franklin Avenue Healthcare Inc. (Berthoud Care and Rehabilitation)
- Franklin Avenue Healthcare Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.