Active NPI
Mary Elizabeth Valucci, M.S. CCC-SLP
- Speech-Language Pathologist
- Centennial, CO
National Provider Identifier
1740654243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 263107912
- Practice address
- 9000 E Nichols Ave Ste 100
Centennial, CO 80112-3429 - Phone
- (720) 706-3396
- NPI assigned
- Nov 20, 2015
- 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 | 263107912 | OK | Primary |
Addresses
Primary practice location
9000 E Nichols Ave Ste 100
Centennial, CO 80112-3429
Mailing address
70 S Evanston Way
Aurora, CO 80012-1539
Phone (972) 839-0732
Other practice location 1
3401 Quebec St Ste 3500
Denver, CO 80207-2339
Phone (720) 706-3396
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200203810A | Medicaid | OK |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 263107912 | OK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soar Medical Services PLLC | Speech-Language Pathologist | Past | Accepting new patients |
| Soar Health, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Developmental - Behavioral Pediatrics Physician
- Denver, CO
- NPI 1427932532
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687305600000",
"number": "1740654243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 S EVANSTON WAY",
"city": "AURORA",
"state": "CO",
"postal_code": "800121539",
"telephone_number": "972-839-0732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 E NICHOLS AVE STE 100",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801123429",
"telephone_number": "720-706-3396"
}
],
"practiceLocations": [
{
"address_1": "3401 Quebec St Ste 3500",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802072339",
"country_code": "US",
"telephone_number": "720-706-3396",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VALUCCI",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-20",
"last_updated": "2023-06-21",
"certification_date": "2023-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": "263107912",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200203810A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.