Organization Active NPI

Dragonfly Pediatric Speech Therapy

  • Speech-Language Pathologist
  • Centennial, CO
National Provider Identifier
1467143982
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
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
May 16, 2023
Last updated
May 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Authorized official

Name
Jessica GatesNPI 1881089811
Title
Speech Language Pathologist/Owner
Phone
(207) 515-8254

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

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

Mailing address

9000 E Nichols Ave Ste 140
Centennial, CO 80112-3406
Phone (720) 515-8254

National Provider Directory

National Provider Directory
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.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1467143982",
    "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": "2023-05-16",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "207-515-8254"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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 May 16, 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.