Individual provider Active NPI

Rachel Michelle Wynn, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Boulder, CO
National Provider Identifier
1457797342
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0000979 Issued in CO
Practice address
3150 Redstone LN
Boulder, CO 80305-7170
Phone
(512) 537-4001
NPI assigned
May 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 107154 TX
Speech-Language Pathologist 235Z00000X 0000979 CO Primary

Addresses

Primary practice location

3150 Redstone LN
Boulder, CO 80305-7170

Mailing address

2525 Arapahoe Ave Ste E4 #1242
Boulder, CO 80302
Phone (720) 282-9643

Other names 1

  • Rachel Michelle Ratliff Former name

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
0000979COMDSpeech-Language Pathologist
107154TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rachel M Wynn LLC CurrentSince Dec 7, 2025 Accepting new patients

Locations

2525 Arapahoe Ave
Unit E4
Boulder, CO 80302
Phone (303) 449-0089

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1457797342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 ARAPAHOE AVE STE E4 #1242",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80302",
            "telephone_number": "720-282-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 REDSTONE LN",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803057170",
            "telephone_number": "512-537-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNN",
        "first_name": "RACHEL",
        "middle_name": "MICHELLE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-17",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "107154",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "0000979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "RATLIFF",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.