Dragonfly Pediatric Speech Therapy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

DRAGONFLY PEDIATRIC SPEECH THERAPY

Practice address

9000 E Nichols Ave Ste 140
Centennial, CO 80112-3406

Phone

(720) 515-8254

Fax

(720) 575-9914

NPI assigned

Sep 5, 2020

Last updated

Apr 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica M Gates, MS CCC-SLPNPI 1881089811

Title

Speech Language Pathologist/Owner

Phone

(720) 515-8254

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Tax ID family

Dragon Fly Pediatric Speech Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dragonfly Pediatric Speech Therapy

  • Speech-Language Pathologist
  • Centennial, CO
  • NPI 1467143982
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica M Gates, MS SLP-CCC

  • Speech-Language Pathologist
  • Parker, CO
  • NPI 1881089811
  NPD Authorized official
• Samantha Robinson, OTR/L

  • Occupational Therapist
  • Parker, CO
  • NPI 1053383927
  NPD
• Courtney E Young

  • Speech-Language Pathologist
  • Parker, CO
  • NPI 1396412672
  NPD
• Mallory Jean Fox, OTD, OTR/L

  • Occupational Therapist
  • Denver, CO
  • NPI 1205514320
  NPD (past)

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

{
    "created_epoch": "1599264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1457965584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 E NICHOLS AVE STE 140",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123406",
            "telephone_number": "720-515-8254",
            "fax_number": "720-575-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 E NICHOLS AVE STE 140",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123406",
            "telephone_number": "720-515-8254",
            "fax_number": "720-575-9914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAGONFLY PEDIATRIC SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-05",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "720-515-8254",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881089811",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica@dragonflyspeech.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "10246 Progress Ln",
            "city": "Parker",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801344044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dr Andrew J Fields PHD Inc
• Dr Michael J Harmon DDS LLC
• Dr. Judd's Office Professional, LLC
• Dr. Willard's Family Practice, P.C.
• Allison Draayer, LCSW
• Dragonfly Pediatric Speech Therapy
• Dragonfly Psychological Services
• Michelle Draznin, MD
• Richard Jay Drexelius, M.D.
• Laura Droy

• Speech-Language Pathologist in Centennial, CO
• Providers in Centennial, 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 Apr 2, 2024; 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.