Individual provider Active NPI

Allison L Mousaw, CCC-SLP

  • Speech-Language Pathologist
  • Superior, CO
National Provider Identifier
1649857467
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
20211305014 Issued in CA
Practice address
1995 E Coalton Rd Apt 71-205
Superior, CO 80027-4515
Phone
(720) 778-1546
NPI assigned
Mar 26, 2021
Last updated
Mar 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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 20211305014 CA Primary

Addresses

Primary practice location

1995 E Coalton Rd Apt 71-205
Superior, CO 80027-4515

Mailing address

1995 E Coalton Rd Apt 71-205
Superior, CO 80027-4515
Phone (720) 778-1546

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

State licenses

LicenseStateTypeSpecialty
20211305014CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Flatirons Pediatric Therapy Speech-Language Pathologist Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1649857467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 E COALTON RD APT 71-205",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800274515",
            "telephone_number": "720-778-1546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 E COALTON RD APT 71-205",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800274515",
            "telephone_number": "720-778-1546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSAW",
        "first_name": "ALLISON",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "20211305014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Superior, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.