Active NPI
Riley Simonton
- Speech-Language Pathologist
- Centennial, CO
National Provider Identifier
1457910754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 6767 S Spruce St Ste 102
Centennial, CO 80112-1284 - Phone
- (303) 563-8290
- NPI assigned
- Jun 10, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
6767 S Spruce St Ste 102
Centennial, CO 80112-1284
Mailing address
620 Grandview MDWS Dr Unit E303
Longmont, CO 80503-8955
Phone (970) 343-0263
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado Institute of Developmental Pediatrics | Speech-Language Pathologist | Past | Accepting new patients |
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.
-
- Pediatric Physical Therapist
- Centennial, CO
- NPI 1386821742
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560124800000",
"number": "1457910754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 GRANDVIEW MDWS DR UNIT E303",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805038955",
"telephone_number": "970-343-0263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6767 S SPRUCE ST STE 102",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801121284",
"telephone_number": "303-563-8290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONTON",
"first_name": "RILEY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-10",
"last_updated": "2019-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.