Active NPI
Mary Katherine Mosher-Stathes, LSLS CERT AVT
- Speech-Language Assistant
- Denver, CO
National Provider Identifier
1609170141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 70712246
- Practice address
- 441 Saint Paul St
Denver, CO 80206-4336 - Phone
- (303) 257-5943
- NPI assigned
- Dec 25, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | 0454429 | CO | |
| Speech-Language Assistant | 2355S0801X | 70712246 | CO | Primary |
Addresses
Primary practice location
441 Saint Paul St
Denver, CO 80206-4336
Mailing address
441 Saint Paul St
Denver, CO 80206-4336
Phone (303) 257-5943
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 |
|---|---|---|---|
| 0454429 | CO | MD | Health Educator |
| 70712246 | CO | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293235200000",
"number": "1609170141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "441 SAINT PAUL ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802064336",
"telephone_number": "303-257-5943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "441 SAINT PAUL ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802064336",
"telephone_number": "303-257-5943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSHER-STATHES",
"first_name": "MARY",
"middle_name": "KATHERINE",
"name_prefix": "Mrs.",
"credential": "LSLS CERT AVT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-25",
"last_updated": "2010-12-25",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "CO",
"license": "0454429",
"primary": false
},
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "CO",
"license": "70712246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.