Active NPI
Tiffini De Walsh
- Speech-Language Pathologist
- Greeley, CO
National Provider Identifier
1568231355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 229862
- Practice address
- 3000 W 13TH St
Greeley, CO 80634-6304 - Phone
- (970) 348-2200
- Fax
- (970) 348-2230
- NPI assigned
- Dec 21, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 229862 | CO | Primary |
Addresses
Primary practice location
3000 W 13TH St
Greeley, CO 80634-6304
Mailing address
1533 44TH Avenue CT
Greeley, CO 80634-3110
Phone (970) 397-5148
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 229862 | CO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703116800000",
"number": "1568231355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1533 44TH AVENUE CT",
"city": "GREELEY",
"state": "CO",
"postal_code": "806343110",
"telephone_number": "970-397-5148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 W 13TH ST",
"city": "GREELEY",
"state": "CO",
"postal_code": "806346304",
"telephone_number": "970-348-2200",
"fax_number": "970-348-2230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "TIFFINI",
"middle_name": "DE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-21",
"last_updated": "2023-12-21",
"certification_date": "2023-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CO",
"license": "229862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.