Individual provider Active NPI

Maija Gulens, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Broomfield, CO
National Provider Identifier
1639617251
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP.0000733 Issued in CO
Practice address
8401 Arista PL
Broomfield, CO 80021-4154
Phone
(720) 777-9208
Fax
(720) 777-9236
NPI assigned
Feb 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP.0000733 CO Primary

Addresses

Primary practice location

8401 Arista PL
Broomfield, CO 80021-4154

Mailing address

8401 Arista PL
Broomfield, CO 80021-4154
Phone (720) 777-9208

Other identifiers 1

IdentifierTypeStateIssuer
12039206OtherASHA

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

State licenses

LicenseStateTypeSpecialty
SLP.0000733COMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1639617251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 ARISTA PL",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800214154",
            "telephone_number": "720-777-9208",
            "fax_number": "720-777-9236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 ARISTA PL",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800214154",
            "telephone_number": "720-777-9208",
            "fax_number": "720-777-9236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULENS",
        "first_name": "MAIJA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-02",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0000733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "12039206",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; 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.