Active NPI
Jensen Hanyak
- Speech-Language Pathologist
- Lafayette, CO
National Provider Identifier
1578061230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 0000341
- Practice address
- 1665 Coal Creek Dr
Lafayette, CO 80026-2784 - Phone
- (775) 230-1375
- NPI assigned
- Jan 29, 2018
- Last updated
- Jan 29, 2018
- 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 | 0000341 | CO | Primary |
Addresses
Primary practice location
1665 Coal Creek Dr
Lafayette, CO 80026-2784
Mailing address
1665 Coal Creek Dr
Lafayette, CO 80026-2784
Phone (775) 230-1375
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 840526621 | Medicaid | CO | |
| 840526621 | Other | CO | PRIVATE INSURANCE |
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 |
|---|---|---|---|
| 0000341 | CO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Developmental Disabilities Center | Past | Accepting new patients | |
| Imagine Kids Dentistry PLLC | Past | Accepting new patients | |
| Developmental Disabilities Center | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Imagine
- Developmentally Disabled Services Day Training Agency
- Lafayette, CO
- NPI 1831236009
-
- Pediatric Dentistry
- Fountain, CO
- NPI 1336786250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517184000000",
"number": "1578061230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1665 COAL CREEK DR",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800262784",
"telephone_number": "775-230-1375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1665 COAL CREEK DR",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800262784",
"telephone_number": "775-230-1375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANYAK",
"first_name": "JENSEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-29",
"last_updated": "2018-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CO",
"license": "0000341",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "840526621",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE INSURANCE",
"identifier": "840526621",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.