Individual provider Active NPI

Lynn Zimmerman

  • Speech-Language Pathologist
  • Littleton, CO
National Provider Identifier
1710162565
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP.0002685 Issued in CO
Practice address
10579 Bradford Rd Ste 104
Littleton, CO 80127-4247
Phone
(303) 521-2031
NPI assigned
Dec 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP.0002685 CO Primary
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

10579 Bradford Rd Ste 104
Littleton, CO 80127-4247

Mailing address

10579 Bradford Rd Ste 104
Littleton, CO 80127-4247
Phone (303) 521-2031

Other practice location 1

34 Mountain Laurel Dr
Littleton, CO 80127-2215
Phone (303) 521-2031

Other identifiers 1

IdentifierTypeStateIssuer
01584242MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL admin@cobblestonespeech.com Direct

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
SLP.0002685COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cobblestone Speech Language and Learning LLC Speech-Language Pathologist Current Accepting new patients

Locations

7761 Shaffer Pkwy
Ste 140
Littleton, CO 80127
Phone (303) 952-9038

10579 Bradford Rd
Ste 104
Littleton, CO 80127
Phone (303) 521-2031

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1710162565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10579 BRADFORD RD STE 104",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801274247",
            "telephone_number": "303-521-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10579 BRADFORD RD STE 104",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801274247",
            "telephone_number": "303-521-2031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 Mountain Laurel Dr",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801272215",
            "country_code": "US",
            "telephone_number": "303-521-2031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-28",
        "last_updated": "2021-06-01",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0002685",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01584242",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "admin@cobblestonespeech.com",
            "affiliation": "N",
            "endpointDescription": "protected email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10579 Bradford Rd Ste 104",
            "city": "Littleton",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801274247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

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