Individual provider Active NPI

Kaitlyn J Santillana, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Arvada, CO
National Provider Identifier
1558608596
Registry record updated Nov 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP.0000581 Issued in CO
Practice address
5730 Ward Rd Ste 101B
Arvada, CO 80002-1300
Phone
(720) 908-2181
Fax
(720) 302-1185
NPI assigned
Jan 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2017

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 SLP.0000581 CO Primary

Addresses

Primary practice location

5730 Ward Rd Ste 101B
Arvada, CO 80002-1300

Mailing address

5060 Quentin St
Denver, CO 80239-4312

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170418002424 CO Practitioner - Qualified Speech Language Pathologist 6305122821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nelson Mobile Fees LLCGroup PAC ID 9133409303, 2 clinicians

Practice addresses (Care Compare)

1601 Lowell Blvd
Denver, CO 80204-1545
Phone (720) 633-4528

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nelson Mobile Fees LLC Speech-Language Pathologist CurrentSince Feb 9, 2017 Accepting new patients

Locations

5730 Ward Rd
Ste 101B
Arvada, CO 80002
Phone (720) 908-2181

1601 Lowell Blvd
Denver, CO 80204
Phone (303) 264-6900

200 Exempla Cir
Lafayette, CO 80026
Phone (303) 689-4110

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": "1357776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509926400000",
    "number": "1558608596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5060 QUENTIN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802394312",
            "fax_number": "720-302-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 WARD RD STE 101B",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800021300",
            "telephone_number": "720-908-2181",
            "fax_number": "720-302-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTILLANA",
        "first_name": "KAITLYN",
        "middle_name": "J",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-10",
        "last_updated": "2017-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0000581",
            "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 Nov 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.