Active NPI
Monica Petersen, M.S., CCC-SLP
- Speech-Language Pathologist
- Loveland, CO
National Provider Identifier
1619989548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 09135533
- Practice address
- 2911 Sanford Cir
Loveland, CO 80538-4929 - Phone
- (501) 416-4664
- NPI assigned
- Aug 12, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 09135533 | Primary |
Addresses
Primary practice location
2911 Sanford Cir
Loveland, CO 80538-4929
Mailing address
2911 Sanford Cir
Loveland, CO 80538-4929
Phone (501) 416-4664
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133710721 | Medicaid | AR |
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jenkins Housing Inc | Past | Accepting new patients | |
| Jenkins Memorial Center & Jenkins Industries, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Intellectual Disabilities Intermediate Care Facility
- Pine Bluff, AR
- NPI 1851428189
-
- Developmentally Disabled Services Day Training Agency
- Pine Bluff, AR
- NPI 1962413989
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700006400000",
"number": "1619989548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2911 SANFORD CIR",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805384929",
"telephone_number": "501-416-4664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2911 SANFORD CIR",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805384929",
"telephone_number": "501-416-4664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSEN",
"first_name": "MONICA",
"name_prefix": "Ms.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-12",
"last_updated": "2023-11-15",
"certification_date": "2023-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": "09135533",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "133710721",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Loveland, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.