NPIMap

Individual provider Active NPI

Patricia Armistead

  • Speech-Language Pathologist
  • Parker, CO
National Provider Identifier
1699125575
Registry record updated Sep 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0003653 Issued in CO
Practice address
11479 Pine Dr Ste 1
Parker, CO 80134-7308
Phone
(303) 840-6374
Fax
(303) 374-8290
NPI assigned
Jun 21, 2016
Last updated
Sep 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 5921 NM
Speech-Language Pathologist 235Z00000X 7101003834 MI
Speech-Language Pathologist 235Z00000X 0003653 CO Primary

Addresses

Primary practice location

11479 Pine Dr Ste 1
Parker, CO 80134-7308

Mailing address

11479 Pine Dr Ste 1
Parker, CO 80134-7308
Phone (303) 840-6374

Other identifiers 2

IdentifierTypeStateIssuer
10171568MedicaidNM
326556OtherNMMEDICARE

Other names 1

  • Patricia Alley Former 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
0003653COMDPhysical Therapist
7101003834MIMDSpeech-Language Pathologist
5921NMMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Explorabilities Inc Speech-Language Pathologist Past Accepting new patients
Haaksma Speech Pathology, LLC Speech-Language Pathologist PastSince Sep 29, 2019 Accepting new patients
Haaksma Speech Pathology Inc Speech-Language Pathologist PastSince Sep 29, 2019 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569110400000",
    "number": "1699125575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11479 PINE DR STE 1",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801347308",
            "telephone_number": "303-840-6374",
            "fax_number": "303-374-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11479 PINE DR STE 1",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801347308",
            "telephone_number": "303-840-6374",
            "fax_number": "303-374-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMISTEAD",
        "first_name": "PATRICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-21",
        "last_updated": "2019-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "5921",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101003834",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "0003653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10171568",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "326556",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "ALLEY",
            "credential": "CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2019; 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.