Active NPI
Kristen Marie O'Connor, SLP
- Speech-Language Pathologist
- Breckenridge, CO
National Provider Identifier
1629307590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 218 N. French St.
Breckenridge, CO 80424 - Phone
- (847) 212-1711
- NPI assigned
- Dec 23, 2009
- Last updated
- Dec 23, 2009
- 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 | Primary |
Addresses
Primary practice location
218 N. French St.
Breckenridge, CO 80424
Mailing address
PO Box 5917
Breckenridge, CO 80424-5917
Phone (847) 212-1711
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261526400000",
"number": "1629307590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5917",
"city": "BRECKENRIDGE",
"state": "CO",
"postal_code": "804245917",
"telephone_number": "847-212-1711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 N. FRENCH ST.",
"city": "BRECKENRIDGE",
"state": "CO",
"postal_code": "80424",
"telephone_number": "847-212-1711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNOR",
"first_name": "KRISTEN",
"middle_name": "MARIE",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-23",
"last_updated": "2009-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Breckenridge, CO
- Mountain Medical Center of Breckenridge, PC
- Timothy Patrick Nary, DDS
- Randall H. Nations, M.D.
- Nicholas Brown DDS PC (Relaxation Dental Specialties)
- Nurturing Wellness PLLC
- OB/GYN Specialists of the Rocky Mountains, Prof LLC
- Patricia Oliver, ED.D; BCBA-D
- Shelby Elizabeth Osborne, D.O.
- Amy D Perchick, OTR/L
- Scott D Perlow, M.A., CCC-SLP/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.