Individual provider Active NPI

Aimee Nichole Mannering, M.A.CCCSLP

  • Speech-Language Pathologist
  • Greeley, CO
National Provider Identifier
1649415910
Registry record updated Dec 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
12085069 Issued in CO
Practice address
708 22ND St
Greeley, CO 80631-7041
Phone
(970) 352-6082
NPI assigned
Dec 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2008

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 12085069 CO Primary

Addresses

Primary practice location

708 22ND St
Greeley, CO 80631-7041

Mailing address

708 22ND St
Greeley, CO 80631-7041
Phone (970) 352-6082

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
12085069COMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229299200000",
    "number": "1649415910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 22ND ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806317041",
            "telephone_number": "970-352-6082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 22ND ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806317041",
            "telephone_number": "970-352-6082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNERING",
        "first_name": "AIMEE",
        "middle_name": "NICHOLE",
        "credential": "M.A.CCCSLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-15",
        "last_updated": "2008-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "12085069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; 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.