Active NPI
Jennifer L. Angeloro
- Speech-Language Pathologist
- Glenwood Springs, CO
National Provider Identifier
1497944185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 24427523
- Practice address
- 612 Cowdin Dr
Glenwood Springs, CO 81601-3216 - Phone
- (401) 741-8023
- NPI assigned
- Oct 18, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 24427523 | CO | Primary |
Addresses
Primary practice location
612 Cowdin Dr
Glenwood Springs, CO 81601-3216
Mailing address
400 Sopris Ave
Carbondale, CO 81623-2041
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP00949 | Other | RI | LICENSE |
| 24427523 | Other | CO | INITIAL SPECIAL SERVICES LICENSE - SCHOOL SLP (0-21) |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24427523 | CO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702339200000",
"number": "1497944185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 SOPRIS AVE",
"city": "CARBONDALE",
"state": "CO",
"postal_code": "816232041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 COWDIN DR",
"city": "GLENWOOD SPRINGS",
"state": "CO",
"postal_code": "816013216",
"telephone_number": "401-741-8023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGELORO",
"first_name": "JENNIFER",
"middle_name": "L.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-18",
"last_updated": "2023-12-12",
"certification_date": "2023-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CO",
"license": "24427523",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "SP00949",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INITIAL SPECIAL SERVICES LICENSE - SCHOOL SLP (0-21)",
"identifier": "24427523",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glenwood Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.