Pediatric Speech Associates

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12065235 Issued in CO

Legal business name

PEDIATRIC SPEECH ASSOCIATES

Practice address

286 Casper Dr
Lafayette, CO 80026-9230

Phone

(720) 404-0570

Fax

(720) 208-0605

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Megan Courtney Kelley, MA CCC-SLPNPI 1407961691

Title

Speech-Language Pathologist

Phone

(720) 404-0570

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Megan Courtney Kelley, MA CCC-SLP

  • Speech-Language Pathologist
  • Lafayette, CO
  • NPI 1407961691
  NPD (past) Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548371776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 CASPER DR",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800269230",
            "telephone_number": "720-404-0570",
            "fax_number": "720-208-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 CASPER DR",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800269230",
            "telephone_number": "720-404-0570",
            "fax_number": "720-208-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC SPEECH ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "COURTNEY",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "720-404-0570",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "12065235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "587-77-865",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Ann Pearson, LPN
• Jennifer Elizabeth Peck, LSW
• Jessica Crystal Peck
• Tyson E Peck, RPH
• Pediatric Dental Group of Lafayette
• Pamela M Pedler
• Peek Optometry, PLLC (Peek to Peak Vision & Boutique)
• Johanna Peltier, PA-C
• Katherine Elise Pemberton, MD
• Daniel Joseph Penn, LPC

• Speech-Language Pathologist in Lafayette, CO
• Providers in Lafayette, 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 Aug 22, 2020; 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.