Active NPI
Audrey Susan Serazio, CCC-SLP
- Speech-Language Pathologist
- Trinidad, CO
National Provider Identifier
1730450321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 134 W Main St Ste 12
Trinidad, CO 81082-2600 - Phone
- (719) 846-4061
- Fax
- (719) 846-4073
- NPI assigned
- Jan 13, 2012
- 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 | Primary |
Addresses
Primary practice location
134 W Main St Ste 12
Trinidad, CO 81082-2600
Mailing address
134 W. Main Ste 12
Trinidad, CO 81082
Phone (719) 846-4061
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326412800000",
"number": "1730450321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 W. MAIN STE 12",
"city": "TRINIDAD",
"state": "CO",
"postal_code": "81082",
"telephone_number": "719-846-4061",
"fax_number": "719-846-4073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 W MAIN ST STE 12",
"city": "TRINIDAD",
"state": "CO",
"postal_code": "810822600",
"telephone_number": "719-846-4061",
"fax_number": "719-846-4073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERAZIO",
"first_name": "AUDREY",
"middle_name": "SUSAN",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-13",
"last_updated": "2012-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Trinidad, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.