Chickadee Speech Therapy, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

CHICKADEE SPEECH THERAPY, LLC

Practice address

1826 Deep Woods LN
Fort Collins, CO 80524-2370

Phone

(727) 560-8758

NPI assigned

Apr 13, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Marie Nealis, SLPNPI 1831450055

Title

Owner

Phone

(727) 560-8758

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jennifer Marie Nealis, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Fort Collins, CO
  • NPI 1831450055
  NPD Authorized official

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649808000000",
    "number": "1508509043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1826 DEEP WOODS LN",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805242370",
            "telephone_number": "727-560-8758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1826 DEEP WOODS LN",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805242370",
            "telephone_number": "727-560-8758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICKADEE SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-13",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A",
        "authorized_official_last_name": "NEALIS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-560-8758",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheyenne Vamc
• Erin Quinn Chiaramonte, MS
• Thomas G Chiavetta, MD
• Jeffrey Edward Chiavini
• Kaitlin Anne Chicca, LPC, MA
• Child, Family and Individual Therapy Services LLC (Center for Child and Family Therapy)
• Juana Childers, PT, DPT
• Children's Eye Care of Northern Colorado PC
• Children's Hospital Colorado (Children's Colorado Regional Outreach Clinic - Fort Collins - FCYC)
• Children's Optical of Northern Colorado LLC (Children's Optical)

• Speech-Language Pathologist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.