Kerry Alexander – Speech-Language Pathologist

Key facts

NPI: 1720115967
Entity type: Individual (NPI type 1)
Primary specialty: Speech-Language Pathologist 235Z00000X
License: 3592 (NM)
Practice address: 2407 Laporte Ave
Fort Collins, CO 80521-2211
Phone: (970) 490-3067
NPI assigned: Feb 27, 2007
Sex: Female
Sole proprietor: No

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.

Poudre School District R-1 Local Education Agency (LEA) · Fort Collins, CO · NPI 1235218983

NPD

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
3592	NM	MD	Addiction (Substance Use Disorder) Counselor

Practice roles

Organization	Specialty	Status	New patients
Poudre School District R-1		Current since Dec 3, 2023	Accepting new patients

Locations

2407 Laporte Ave
Fort Collins, CO 80521
Phone (970) 482-7420

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Speech-Language Pathologist	235Z00000X	3592	NM	Yes

Addresses

Primary practice location

2407 Laporte Ave
Fort Collins, CO 80521-2211

Mailing address

1149 Toscana Rd SE
Rio Rancho, NM 87124-8786

Other providers in Fort Collins, CO

All providers in Fort Collins, CO · Speech-Language Pathologist in Colorado

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.