Organization Active NPI

Front Range Speech and Behavior

  • Speech-Language Pathologist
  • Greeley, CO
National Provider Identifier
1477097657
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP0000936 Issued in CO
Legal business name
FRONT RANGE SPEECH AND BEHAVIOR
Practice address
7251 W 20TH St
Unit P2
Greeley, CO 80634-4625
Phone
(970) 778-4637
NPI assigned
Dec 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Authorized official

Name
Angela Chase, M.S.,CCC-SLP, MEDNPI 1326273004
Title
Owner
Phone
(714) 478-1482

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SLP0000936 CO Primary

Addresses

Primary practice location

7251 W 20TH St
Unit P2
Greeley, CO 80634-4625

Mailing address

1303 Park Ridge Dr
Severance, CO 80615-8609
Phone (714) 478-1482

Other identifiers 1

IdentifierTypeStateIssuer
28650077MedicaidCO

National Provider Directory

National Provider Directory

Locations

7251 W 20th St
Unit P2
Greeley, CO 80634
Phone (970) 778-4637

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481068800000",
    "number": "1477097657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 PARK RIDGE DR",
            "city": "SEVERANCE",
            "state": "CO",
            "postal_code": "806158609",
            "telephone_number": "714-478-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7251 W 20TH ST",
            "address_2": "UNIT P2",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344625",
            "telephone_number": "970-778-4637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT RANGE SPEECH AND BEHAVIOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-07",
        "last_updated": "2016-12-07",
        "status": "A",
        "authorized_official_last_name": "CHASE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-478-1482",
        "authorized_official_credential": "M.S.,CCC-SLP, MED"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP0000936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "28650077",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.