NPIMap

Organization Active NPI

Mountain Sprouts Speech Therapy, LLC

  • Speech-Language Pathologist
  • Longmont, CO
National Provider Identifier
1669963997
Registry record updated May 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
MOUNTAIN SPROUTS SPEECH THERAPY, LLC
Practice address
1251 Gay St
Longmont, CO 80501-3813
Phone
(501) 454-1135
NPI assigned
May 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2018

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

Authorized official

Name
Mrs. Whitney Jane Doramus
Title
Speech Pathologist
Phone
(501) 454-1135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

1251 Gay St
Longmont, CO 80501-3813

Mailing address

1251 Gay St
Longmont, CO 80501-3813
Phone (501) 454-1135

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526947200000",
    "number": "1669963997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 GAY ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013813",
            "telephone_number": "501-454-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 GAY ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013813",
            "telephone_number": "501-454-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN SPROUTS SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-05-22",
        "status": "A",
        "authorized_official_last_name": "DORAMUS",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "501-454-1135",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.