Individual provider Active NPI

Amber Graber, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Greeley, CO
National Provider Identifier
1508263450
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6329 Issued in TN
Practice address
1400 E 20TH St
Greeley, CO 80631-6248
Phone
(970) 348-2500
NPI assigned
Nov 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 6329 TN Primary

Addresses

Primary practice location

1400 E 20TH St
Greeley, CO 80631-6248

Mailing address

818 S Terry St Apt 5
Longmont, CO 80501-6472
Phone (270) 776-2790

Other practice location 1

1515 14th Ave
Greeley, CO 80631-4737
Phone (970) 348-5000

Other practice location 2

5590 W 11th St
Greeley, CO 80634-4801
Phone (970) 348-5800

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6329TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Pediatric Therapy PLLC Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1508263450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 S TERRY ST APT 5",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016472",
            "telephone_number": "270-776-2790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E 20TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806316248",
            "telephone_number": "970-348-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 14th Ave",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806314737",
            "country_code": "US",
            "telephone_number": "970-348-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5590 W 11th St",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806344801",
            "country_code": "US",
            "telephone_number": "970-348-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRABER",
        "first_name": "AMBER",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-20",
        "last_updated": "2023-12-15",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "6329",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 15, 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.