Kelly Standke, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP.0005379 Issued in CO

Practice address

1931 65TH Ave Ste C
Greeley, CO 80634-7946

Phone

(970) 305-5070

NPI assigned

Aug 4, 2023

Last updated

Aug 4, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kelly Fitzpatrick Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1427730852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6431 GRAND MESA DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805382044",
            "telephone_number": "970-617-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 65TH AVE STE C",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806347946",
            "telephone_number": "970-305-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANDKE",
        "first_name": "KELLY",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0005379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "FITZPATRICK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samantha Stadjuhar Whitmore
• Sheldon Gregory Stadnyk, M.D.
• Katrina Raenae Staley, FNP-C
• Stephanie Rose Stamos
• McKenzie Stampfli, MD
• Carly Standley
• Jenny Stanford, RPH
• David Stang, M.S.
• Jamie L Staples, LPC, LAC
• Rebecca Lynn Starke

• Speech-Language Pathologist in Greeley, CO
• Providers in Greeley, CO by specialty
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.