Active NPI
Mendi Krueger, CCC-SLP
- Speech-Language Pathologist
- La Junta, CO
National Provider Identifier
1710739917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 24369873
- Practice address
- 901 Smithland Ave
La Junta, CO 81050-2506 - Phone
- (719) 384-9151
- NPI assigned
- Apr 2, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 24369873 | CO | Primary |
Addresses
Primary practice location
901 Smithland Ave
La Junta, CO 81050-2506
Mailing address
PO Box 980
La Junta, CO 81050-0980
Phone (719) 383-2623
Other practice location 1
100 W Washington Ave
Rocky Ford, CO 81067-2345
Phone (719) 254-7431
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
| License | State | Type | Specialty |
|---|---|---|---|
| 24369873 | CO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712016000000",
"number": "1710739917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 980",
"city": "LA JUNTA",
"state": "CO",
"postal_code": "810500980",
"telephone_number": "719-383-2623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 SMITHLAND AVE",
"city": "LA JUNTA",
"state": "CO",
"postal_code": "810502506",
"telephone_number": "719-384-9151"
}
],
"practiceLocations": [
{
"address_1": "100 W Washington Ave",
"address_purpose": "LOCATION",
"city": "Rocky Ford",
"state": "CO",
"postal_code": "810672345",
"country_code": "US",
"telephone_number": "719-254-7431",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRUEGER",
"first_name": "MENDI",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-02",
"last_updated": "2024-04-02",
"certification_date": "2024-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CO",
"license": "24369873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Junta, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.