Individual provider Active NPI

Emily B Nelson, MA, CCC-SLP

  • Speech-Language Pathologist
  • Wheat Ridge, CO
National Provider Identifier
1750609749
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP.0000819 Issued in CO
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
KA4321001OtherKSMEDICARE B KANSAS
543094ZXGHOtherCOMEDICARE B COLORADO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130730000748 CO Practitioner - Qualified Speech Language Pathologist 3274774419 Reassigns benefits to 1 organization

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
Nelson Mobile Fees LLCGroup PAC ID 9133409303, 2 clinicians

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

LicenseStateTypeSpecialty
SLP.0000819COMDSpeech-Language Pathologist
2977KSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nelson Mobile Fees LLC Speech-Language Pathologist CurrentSince Oct 19, 2015 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.

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.

Verify at the official NPI Registry.