Organization Active NPI

Pathways Speech Therapy, LLC

  • Speech-Language Pathologist
  • Erie, CO
National Provider Identifier
1679143960
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
PATHWAYS SPEECH THERAPY, LLC
Doing business as
Pathways Speech Therapy, LLC
Practice address
671 Mitchell Way # 117
Erie, CO 80516-5444
Phone
(303) 579-8098
Fax
(720) 713-3274
NPI assigned
Jun 29, 2021
Last updated
Jun 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Authorized official

Name
Devon V Chisholm, SLPNPI 1962832634
Title
Speech-Language Pathologist
Phone
(303) 579-8098

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

671 Mitchell Way # 117
Erie, CO 80516-5444

Mailing address

671 Mitchell Way # 117
Erie, CO 80516-5444

Other names 1

  • Pathways Speech Therapy, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

671 Mitchell Way
Ste 117
Erie, CO 80516
Phone (303) 579-8098

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1679143960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 MITCHELL WAY # 117",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805165444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 MITCHELL WAY # 117",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805165444",
            "telephone_number": "303-579-8098",
            "fax_number": "720-713-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "CHISHOLM",
        "authorized_official_first_name": "DEVON",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "303-579-8098",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pathways Speech Therapy, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Erie, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.