Individual provider Active NPI

Marlo Trudgeon, M.A. SLP CCC

  • Speech-Language Pathologist
  • Arvada, CO
National Provider Identifier
1528512092
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0000649 Issued in CO
Practice address
7392 Arbutus CT
Arvada, CO 80005-2822
Phone
(303) 917-8577
NPI assigned
Aug 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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 0000649 CO Primary

Addresses

Primary practice location

7392 Arbutus CT
Arvada, CO 80005-2822

Mailing address

7392 Arbutus CT
Arvada, CO 80005-2822
Phone (303) 917-8577

Other practice location 1

7392 Arbutus Ct
Arvada, CO 80005-2822
Phone (303) 917-8577

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240906002698 CO Practitioner - Qualified Speech Language Pathologist 5294275053 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0000649COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Talk to Me Speech Language LLC Speech-Language Pathologist CurrentSince Dec 21, 2021 Accepting new patients
Lighthouse Family Therapy Prof LLC Speech-Language Pathologist CurrentSince May 30, 2024 Accepting new patients
Lighthouse Family Therapy Prof LLC Speech-Language Pathologist Past Accepting new patients

Locations

1330 Oakridge Dr
Unit 105
Fort Collins, CO 80525
Phone (970) 232-5457

Organizations & group practices 3

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": "1470960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1528512092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7392 ARBUTUS CT",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800052822",
            "telephone_number": "303-917-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7392 ARBUTUS CT",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800052822",
            "telephone_number": "303-917-8577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7392 Arbutus Ct",
            "address_purpose": "LOCATION",
            "city": "Arvada",
            "state": "CO",
            "postal_code": "800052822",
            "country_code": "US",
            "telephone_number": "303-917-8577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUDGEON",
        "first_name": "MARLO",
        "credential": "M.A. SLP CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-12",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "0000649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.