Tanya Dawn Klish, SLP, CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

232152 Issued in CO

Practice address

1500 E 128TH Ave
Thornton, CO 80241-2601

Phone

(720) 972-4000

NPI assigned

Feb 19, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Adams 12 Five Star Schools

  • Local Education Agency (LEA)
  • Thornton, CO
  • NPI 1215046842
  NPD
• The Madison Center

  • Speech-Language Pathologist
  • Excelsior, MN
  • NPI 1083832158
  NPD (past)

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1669794533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11874 W 85TH AVE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800055130",
            "telephone_number": "612-747-8461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E 128TH AVE",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802412601",
            "telephone_number": "720-972-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLISH",
        "first_name": "TANYA",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "SLP, CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-19",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "232152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew David Klein, PA-C
• Jesica Rae Klein, AGNPPC-C
• Alicia Klement
• Erica Ann Klingberg, LPC
• Val Klinzman
• Justin Kloster, PHARMD
• Christine Marie Kluck, MS
• Terri Cathaleen Klumann, M.ED.
• Andrew Ronald Klutman
• KMH Orthodontics, PLLC

• Speech-Language Pathologist in Thornton, CO
• Providers in Thornton, CO by specialty
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.