Active NPI
Emily B Nelson, MA, CCC-SLP
- Speech-Language Pathologist
- Wheat Ridge, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP.0000819
- Practice address
- 4045 Wadsworth Blvd Ste 210
Wheat Ridge, CO 80033-4624 - Phone
- (720) 633-4528
- Fax
- (720) 302-1185
- NPI assigned
- May 14, 2010
- Last updated
- Nov 18, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2977 | KS | |
| Speech-Language Pathologist | 235Z00000X | SLP.0000819 | CO | Primary |
Addresses
Primary practice location
4045 Wadsworth Blvd Ste 210
Wheat Ridge, CO 80033-4624
Mailing address
4467 King St
Denver, CO 80211-1325
Phone (720) 763-3245
Other practice location 1
4467 King St.
Denver, CO 80211
Phone (720) 633-4528
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KA4321001 | Other | KS | MEDICARE B KANSAS |
| 543094ZXGH | Other | CO | MEDICARE B COLORADO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1601 Lowell Blvd
Denver, CO 80204-1545
Phone (720) 633-4528
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP.0000819 | CO | MD | Speech-Language Pathologist |
| 2977 | KS | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nelson Mobile Fees LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
5730 Ward Rd
Ste 101B
Arvada, CO 80002
Phone (720) 908-2181
1601 Lowell Blvd
Denver, CO 80204
Phone (303) 264-6900
2233 E Main St
Montrose, CO 81401
Phone (970) 249-3700
4045 Wadsworth Blvd
Ste 210
Wheat Ridge, CO 80033
Phone (303) 467-3490
826 18th St
Ste A
Hoxie, KS 67740
Phone (785) 675-3018
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Denver, CO
- NPI 1891244232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605657600000",
"number": "1750609749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4467 KING ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802111325",
"telephone_number": "720-763-3245",
"fax_number": "720-302-1185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4045 WADSWORTH BLVD STE 210",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800334624",
"telephone_number": "720-633-4528",
"fax_number": "720-302-1185"
}
],
"practiceLocations": [
{
"address_1": "4467 King St.",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "80211",
"country_code": "US",
"telephone_number": "720-633-4528",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NELSON",
"first_name": "EMILY",
"middle_name": "B",
"credential": "MA, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-14",
"last_updated": "2020-11-18",
"certification_date": "2020-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KS",
"license": "2977",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CO",
"license": "SLP.0000819",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE B KANSAS",
"identifier": "KA4321001",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE B COLORADO",
"identifier": "543094ZXGH",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.