Individual provider Active NPI

Shannon A Collins, M.S. SLP

  • Speech-Language Pathologist
  • Denver, CO
National Provider Identifier
1538786264
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP.0004826 Issued in CO
Practice address
4400 S Quebec St Apt T204
Denver, CO 80237-2673
Phone
(970) 618-2018
NPI assigned
Jun 29, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X TSLP12470 AZ
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SLP.0004826 CO Primary

Addresses

Primary practice location

4400 S Quebec St Apt T204
Denver, CO 80237-2673

Mailing address

4400 S Quebec St Apt T204
Denver, CO 80237-2673
Phone (970) 618-2018

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
TSLP12470AZMDSpeech-Language Pathologist
SLP.0004826COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mealtime Connections, LLC Single Specialty CurrentSince Oct 30, 2022 Accepting new patients
Mealtimes and More LLC Single Specialty CurrentSince Sep 5, 2023 Accepting new patients
Children'S Hospital Colorado Current Accepting new patients

Locations

1601 N Tucson Blvd
Ste 6
Tucson, AZ 85716
Phone (520) 829-9635

Interoperability endpoints

  • Direct secure messaging: scollins254281@direct.childrenscolorado.org

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": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1538786264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 S QUEBEC ST APT T204",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802372673",
            "telephone_number": "970-618-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 S QUEBEC ST APT T204",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802372673",
            "telephone_number": "970-618-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "SHANNON",
        "middle_name": "A",
        "credential": "M.S. SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-29",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP12470",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0004826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.