Active NPI
Cheryl R Campbell, CCC-SLP
- Speech-Language Pathologist
- Greeley, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP.0003021
- Practice address
- 1175 58TH Ave Ste 101
Greeley, CO 80634 - Phone
- (970) 682-3743
- NPI assigned
- May 23, 2005
- Last updated
- Aug 13, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP.0003021 | CO | Primary |
Addresses
Primary practice location
1175 58TH Ave Ste 101
Greeley, CO 80634
Mailing address
1175 58TH Ave Ste 101
Greeley, CO 80634-4808
Phone (970) 460-8708
Other practice location 1
3500 LaTouche St Ste 350
Anchorage, AK 99508-4261
Phone (907) 522-0078
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP48701 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191016003242 | CO | Practitioner - Qualified Speech Language Pathologist | 5193056505 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP.0003021 | CO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspen Speech Therapy and Rehabilitation LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Aspen Speech Therapy and Rehabilitation LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Aspen Speech Therapy and Rehabilitation LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1136 E Stuart St
Ste 3120
Fort Collins, CO 80525
Phone (970) 682-3743
1200 E Elizabeth St
Fort Collins, CO 80524
Phone (970) 416-6286
1175 58th Ave
Ste 101
Greeley, CO 80634
Phone (970) 495-0444
Organizations & group practices 3
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.
-
- Speech-Language Pathologist
- Loveland, CO
- NPI 1093349565
-
dba Aspen Speech Therapy
- Speech-Language Pathologist
- Fort Collins, CO
- NPI 1669733267
-
- Speech-Language Pathologist
- Greeley, CO
- NPI 1821645185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565654400000",
"number": "1669475828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1175 58TH AVE STE 101",
"city": "GREELEY",
"state": "CO",
"postal_code": "806344808",
"telephone_number": "970-460-8708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1175 58TH AVE STE 101",
"city": "GREELEY",
"state": "CO",
"postal_code": "80634",
"telephone_number": "970-682-3743"
}
],
"practiceLocations": [
{
"address_1": "3500 LaTouche St Ste 350",
"address_purpose": "LOCATION",
"city": "Anchorage",
"state": "AK",
"postal_code": "995084261",
"country_code": "US",
"telephone_number": "907-522-0078",
"fax_number": "907-279-0331",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPBELL",
"first_name": "CHERYL",
"middle_name": "R",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-23",
"last_updated": "2019-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CO",
"license": "SLP.0003021",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SP48701",
"state": "AK"
}
],
"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 Aug 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.