Cynthia Black, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

01028420 Issued in CO

Practice address

28496 Clover LN
Evergreen, CO 80439-8444

Phone

(720) 212-1106

NPI assigned

Feb 19, 2016

Last updated

Feb 19, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1455840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455840000000",
    "number": "1629437595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28496 CLOVER LN",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804398444",
            "telephone_number": "720-212-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28496 CLOVER LN",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804398444",
            "telephone_number": "720-212-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "CYNTHIA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-19",
        "last_updated": "2016-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "01028420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Big Sky Medicine PC (Urgent Care Evergreen)
• Big Smiles Colorado PC
• Timothy Biglen, EMT-I
• Sarah Binsted
• Melinda H Birkmire, PHARM.D
• Leah Black, RDN
• Will Black
• Blue Creek Medicine PC (Blue Creek Family Medicine)
• Christina Boehmer, MA CCC-SLP
• Lauren Yvonne Bourguignon

• Speech-Language Pathologist in Evergreen, CO
• Providers in Evergreen, CO by specialty
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; 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.