Individual provider Active NPI

Andrea Margaret Buechler, SLP-CCC

  • Speech-Language Pathologist
  • Parker, CO
National Provider Identifier
1699327361
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
PSLP.000515 Issued in CO
Practice address
19284 Cottonwood Dr Ste 203
Parker, CO 80138-3881
Phone
(720) 788-7365
Fax
(720) 294-1426
NPI assigned
Jul 12, 2019
Last updated
Jun 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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 PSLP.000515 CO Primary

Addresses

Primary practice location

19284 Cottonwood Dr Ste 203
Parker, CO 80138-3881

Mailing address

7881 W Mansfield Pkwy Unit 306
Lakewood, CO 80235-1939
Phone (920) 475-6054

Other identifiers 1

IdentifierTypeStateIssuer
9000142570MedicaidCO

Other names 1

  • Andrea Margaret Wagner 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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSLP.000515COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Castle Rock Therapies, LLC Speech-Language Pathologist PastSince Jun 1, 2023 Accepting new patients

Organizations & group practices 1

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": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1699327361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7881 W MANSFIELD PKWY UNIT 306",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802351939",
            "telephone_number": "920-475-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19284 COTTONWOOD DR STE 203",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801383881",
            "telephone_number": "720-788-7365",
            "fax_number": "720-294-1426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUECHLER",
        "first_name": "ANDREA",
        "middle_name": "MARGARET",
        "credential": "SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-12",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "PSLP.000515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000142570",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "WAGNER",
            "middle_name": "MARGARET",
            "credential": "SLP-CCC",
            "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 Jun 21, 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.