Active NPI
Front Range Speech and Behavior
- Speech-Language Pathologist
- Greeley, CO
National Provider Identifier
1477097657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP0000936
- 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
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, MED
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28650077 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Speech-Language Pathologist
- Greeley, CO
- NPI 1326273004
-
- Speech-Language Pathologist
- Greeley, CO
- NPI 1679097513
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.