Individual provider Active NPI

Cynthia Lea Gregoire, SLP

  • Speech-Language Pathologist
  • Arvada, CO
National Provider Identifier
1689744914
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
12061969 Issued in CO
Practice address
9090 Flora St
Arvada, CO 80005-1432
Phone
(720) 435-0350
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 12061969 CO Primary

Addresses

Primary practice location

9090 Flora St
Arvada, CO 80005-1432

Mailing address

9090 Flora St
Arvada, CO 80005-1432
Phone (720) 435-0350

Other identifiers 1

IdentifierTypeStateIssuer
79702228MedicaidCO

Other names 1

  • Cynthia Lea Proffitt Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12061969COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance of Therapy Specialists, Inc Past Accepting new patients
CLG Solutions LLC Speech-Language Pathologist PastSince Mar 28, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1689744914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9090 FLORA ST",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800051432",
            "telephone_number": "720-435-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9090 FLORA ST",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800051432",
            "telephone_number": "720-435-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGOIRE",
        "first_name": "CYNTHIA",
        "middle_name": "LEA",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "12061969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79702228",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "PROFFITT",
            "middle_name": "LEA",
            "credential": "SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.