Tricia Kostner-Nicholson, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP.0001768 Issued in CO

Legal business name

TRICIA KOSTNER-NICHOLSON, LLC

Practice address

2826 Potosi PL
Broomfield, CO 80023-4659

Phone

(847) 370-3710

NPI assigned

Dec 1, 2017

Last updated

Dec 1, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tricia Kostner-Nicholson, M.S., CCC-SLPNPI 1407040736

Title

Owner

Phone

(847) 370-3710

Specialties & licenses 1

Addresses

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.

• Tricia Lynn Kostner-Nicholson, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Broomfield, CO
  • NPI 1407040736
  NPD Authorized official

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512086400000",
    "number": "1700390580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2826 POTOSI PL",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800234659",
            "telephone_number": "847-370-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2826 POTOSI PL",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800234659",
            "telephone_number": "847-370-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRICIA KOSTNER-NICHOLSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-01",
        "last_updated": "2017-12-01",
        "status": "A",
        "authorized_official_last_name": "KOSTNER-NICHOLSON",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-370-3710",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0001768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; 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.