Northern Colorado Speech Therapy, LLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

NORTHERN COLORADO SPEECH THERAPY, LLC

Practice address

1748 Topaz Dr
Loveland, CO 80537-5000

Phone

(970) 702-2998

Fax

(970) 549-2514

NPI assigned

Jul 3, 2010

Organization subpart

No

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

Authorized official

Name

Sara Williams, MS

Title

Owner

Phone

(970) 430-9997

Specialties & licenses 1

Addresses

Other identifiers 3

Tax ID family

Northern Colorado Speech Therapy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Northern Colorado Speech Therapy, LLC

  • Hearing and Speech Clinic/Center
  • Greeley, CO
  • NPI 1144955402
  NPD tax ID
• Northern Colorado Speech Therapy, LLC

  • Hearing and Speech Clinic/Center
  • Greeley, CO
  • NPI 1265977714
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica N Acidera, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Loveland, CO
  • NPI 1821785825
  NPD (past)
• Ashley Anne Goodman

  • Speech-Language Assistant
  • Loveland, CO
  • NPI 1649804568
  NPD (past)

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

{
    "created_epoch": "1278115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561420800000",
    "number": "1730491978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1748 TOPAZ DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805375000",
            "telephone_number": "970-800-3287",
            "fax_number": "970-549-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1748 TOPAZ DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805375000",
            "telephone_number": "970-702-2998",
            "fax_number": "970-549-2514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 56th Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806342950",
            "country_code": "US",
            "telephone_number": "970-702-2998",
            "fax_number": "970-549-2514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHERN COLORADO SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-03",
        "last_updated": "2019-06-25",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-430-9997",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12745520",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36620777",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000151501",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Hearing and Speech Clinic/Center in Loveland, CO
• Providers in Loveland, CO by specialty
• Hearing and Speech Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.