Organization Active NPI

University of Northern Colorado

Doing business as Speech & Audiology Clinic

  • Hearing and Speech Clinic/Center
  • Greeley, CO
National Provider Identifier
1578551024
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
UNIVERSITY OF NORTHERN COLORADO
Doing business as
Speech & Audiology Clinic
Practice address
501 20TH St
55
Greeley, CO 80639-0001
Phone
(970) 351-2012
Fax
(970) 351-1601
NPI assigned
Oct 10, 2005
Last updated
Nov 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Authorized official

Name
Richard Nickeson
Title
Associate VP Administration
Phone
(970) 351-3966

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X NU Primary
Audiologist 231H00000X NU
Speech-Language Pathologist 235Z00000X NU
Audiologist-Hearing Aid Fitter 237600000X NU
Hearing Instrument Specialist 237700000X NU

Addresses

Primary practice location

501 20TH St
55
Greeley, CO 80639-0001

Mailing address

501 20TH St
55
Greeley, CO 80639-0001
Phone (970) 351-2012

Other identifiers 1

IdentifierTypeStateIssuer
04439097MedicaidCO

Other names 1

  • Speech & Audiology Clinic Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address asls.clinic@unco.edu

National Provider Directory

National Provider Directory

Locations

501 20th St
#55
Greeley, CO 80639
Phone (970) 351-2012

55 Campus Box
Greeley, CO 80639
Phone (970) 351-2012

Gunter Hall
Rm 0330
Greeley, CO 80639

Gunter Hall
Rm 33
Greeley, CO 80639
Phone (970) 351-2012

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1578551024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 20TH ST",
            "address_2": "55",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806390001",
            "telephone_number": "970-351-2012",
            "fax_number": "970-351-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 20TH ST",
            "address_2": "55",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806390001",
            "telephone_number": "970-351-2012",
            "fax_number": "970-351-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF NORTHERN COLORADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "NICKESON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "ASSOCIATE VP ADMINISTRATION",
        "authorized_official_telephone_number": "970-351-3966"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04439097",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asls.clinic@unco.edu",
            "affiliation": "N",
            "address_1": "501 20th St",
            "address_2": "55",
            "city": "Greeley",
            "state": "CO",
            "country_code": "US",
            "postal_code": "806390001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Speech & Audiology Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Speech & Audiology Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 15, 2022; 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.