Active NPI
Anne D Schubert
- Speech-Language Pathologist
- Fort Collins, CO
National Provider Identifier
1730501966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 772
- Practice address
- 760 Whalers Way
BLDG. C Suite #100
Fort Collins, CO 80525-2023 - Phone
- (970) 495-1150
- Fax
- (970) 495-0133
- NPI assigned
- Jan 7, 2014
- 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 | 772 | WY | Primary |
Addresses
Primary practice location
760 Whalers Way
BLDG. C Suite #100
Fort Collins, CO 80525-2023
Mailing address
760 Whalers Way
BLDG. C Suite #100
Fort Collins, CO 80525-2023
Phone (970) 495-1150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170628000414 | CO | Practitioner - Qualified Speech Language Pathologist | 6800165291 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 772 | WY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Speech and Language Center | Speech-Language Pathologist | Past | Accepting new patients |
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.
-
- Speech-Language Pathologist
- Fort Collins, CO
- NPI 1720978760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596585600000",
"number": "1730501966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 WHALERS WAY",
"address_2": "BLDG. C SUITE #100",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805252023",
"telephone_number": "970-495-1150",
"fax_number": "970-495-0133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 WHALERS WAY",
"address_2": "BLDG. C SUITE #100",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805252023",
"telephone_number": "970-495-1150",
"fax_number": "970-495-0133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUBERT",
"first_name": "ANNE",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-07",
"last_updated": "2020-08-05",
"certification_date": "2020-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WY",
"license": "772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.