NPIMap

Organization Active NPI

Children's Speech and Reading Center

  • Speech-Language Pathologist
  • Fort Collins, CO
National Provider Identifier
1518457399
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
CHILDREN'S SPEECH AND READING CENTER
Practice address
1330 Oakridge Dr Unit 10
Fort Collins, CO 80525-9652
Phone
(970) 419-0486
Fax
(970) 221-5751
NPI assigned
May 16, 2018
Last updated
May 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2018

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

Authorized official

Name
Dave Boon
Title
Executive Director
Phone
(970) 419-0486

Specialties & licenses 1

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

Addresses

Primary practice location

1330 Oakridge Dr Unit 10
Fort Collins, CO 80525-9652

Mailing address

1330 Oakridge Dr Unit 10
Fort Collins, CO 80525-9652
Phone (970) 419-0486

Other practice location 1

1511 E 11th St Ste 290
Loveland, CO 80537-5005
Phone (970) 342-2296

Other identifiers 1

IdentifierTypeStateIssuer
1972733202MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Children's Speech and Reading Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1511 E 11th St
Ste 290
Loveland, CO 80537
Phone (970) 342-2296

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526428800000",
    "number": "1518457399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 OAKRIDGE DR UNIT 10",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805259652",
            "telephone_number": "970-419-0486",
            "fax_number": "970-221-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 OAKRIDGE DR UNIT 10",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805259652",
            "telephone_number": "970-419-0486",
            "fax_number": "970-221-5751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1511 E 11th St Ste 290",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805375005",
            "country_code": "US",
            "telephone_number": "970-342-2296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHILDREN'S SPEECH AND READING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-05-16",
        "status": "A",
        "authorized_official_last_name": "BOON",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "970-419-0486"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972733202",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.