Organization Active NPI

Family First Speech Language Therapy

  • Speech-Language Pathologist
  • Fort Collins, CO
National Provider Identifier
1659775385
Registry record updated Oct 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0000603 Issued in CO
Legal business name
FAMILY FIRST SPEECH LANGUAGE THERAPY
Practice address
609 Sedgwick Dr
Fort Collins, CO 80525-7055
Phone
(970) 223-3019
NPI assigned
Oct 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2014

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

Authorized official

Name
Mrs. Patricia Costello Iannacito, M.A., CCC-SLP
Title
Speech Language Pathologist
Phone
(970) 223-3019

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 0000603 CO Primary

Addresses

Primary practice location

609 Sedgwick Dr
Fort Collins, CO 80525-7055

Mailing address

609 Sedgwick Dr
Fort Collins, CO 80525-7055
Phone (970) 223-3019

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412726400000",
    "number": "1659775385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 SEDGWICK DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805257055",
            "telephone_number": "970-223-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 SEDGWICK DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805257055",
            "telephone_number": "970-223-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FIRST SPEECH LANGUAGE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-08",
        "last_updated": "2014-10-08",
        "status": "A",
        "authorized_official_last_name": "IANNACITO",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "COSTELLO",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "970-223-3019",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "0000603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; 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.