Individual provider Active NPI

Jennifer Maya Buffington

  • Speech-Language Pathologist
  • Thornton, CO
National Provider Identifier
1528382918
Registry record updated Jun 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
12097829 Issued in CO
Practice address
2501 E 104TH Ave
Thornton, CO 80233-4401
Phone
(303) 255-4133
Fax
(303) 254-5508
NPI assigned
Mar 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2015

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 12097829 CO Primary

Addresses

Primary practice location

2501 E 104TH Ave
Thornton, CO 80233-4401

Mailing address

3386 E 143Rd Ave
Thornton, CO 80602-8910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241126003932 CO Practitioner - Qualified Speech Language Pathologist 0244765352 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12097829COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Therapy and Wellness LLC Speech-Language Pathologist CurrentSince Nov 18, 2024 Accepting new patients

Locations

1850 S Hover St
Longmont, CO 80501
Phone (303) 926-3849

1371 Hecla Dr
Ste D130
Louisville, CO 80027
Phone (303) 936-5582

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": "1268611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435190400000",
    "number": "1528382918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3386 E 143RD AVE",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "806028910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 E 104TH AVE",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802334401",
            "telephone_number": "303-255-4133",
            "fax_number": "303-254-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUFFINGTON",
        "first_name": "JENNIFER",
        "middle_name": "MAYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-15",
        "last_updated": "2015-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "12097829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.