Organization Active NPI

Patti Wade, Ms, CCC-SLP

  • Hearing and Speech Clinic/Center
  • Boulder, CO
National Provider Identifier
1740656305
Registry record updated Aug 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
0001755 Issued in CO
Legal business name
PATTI WADE, MS, CCC-SLP
Practice address
1244 Pine St
Boulder, CO 80302-4809
Phone
(301) 266-4787
NPI assigned
Aug 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2015

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

Authorized official

Name
Patti Wade, M.S., CCC-SLP
Title
Speech Language Pathologist
Phone
(310) 266-4787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X 0001755 CO Primary

Addresses

Primary practice location

1244 Pine St
Boulder, CO 80302-4809

Mailing address

1244 Pine St
Boulder, CO 80302-4809
Phone (301) 266-4787

National Provider Directory

National Provider Directory

Locations

1244 Pine St
Boulder, CO 80302
Phone (303) 247-0408

NPI Registry JSON

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439856000000",
    "number": "1740656305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 PINE ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803024809",
            "telephone_number": "301-266-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 PINE ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803024809",
            "telephone_number": "301-266-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATTI WADE, MS, CCC-SLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-18",
        "last_updated": "2015-08-18",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "PATTI",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "310-266-4787",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "CO",
            "license": "0001755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.