Active NPI
Kyle Denver Epps
- Speech-Language Pathologist
- Nederland, CO
National Provider Identifier
1447681770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 18309
- Practice address
- 34 E 1St St
Nederland, CO 80466 - Phone
- (303) 258-7988
- NPI assigned
- Dec 12, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 18309 | CA | Primary |
Addresses
Primary practice location
34 E 1St St
Nederland, CO 80466
Mailing address
8120 Norton Ave Apt 1
West Hollywood, CA 90046-4930
Phone (661) 345-2172
Other names 1
- Kyle Denver Smith
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386806400000",
"number": "1447681770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8120 NORTON AVE APT 1",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900464930",
"telephone_number": "661-345-2172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 E 1ST ST",
"city": "NEDERLAND",
"state": "CO",
"postal_code": "80466",
"telephone_number": "303-258-7988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EPPS",
"first_name": "KYLE",
"middle_name": "DENVER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-12-12",
"last_updated": "2013-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "18309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KYLE",
"last_name": "SMITH",
"middle_name": "DENVER",
"credential": "MA, CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Nederland, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.