Kelly Woodworth

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4920 Issued in CO

Practice address

6851 S Holly Cir Ste 290
Centennial, CO 80112-1076

Phone

(720) 542-8737

NPI assigned

Jul 19, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Pediatric Speech Therapy Associates

  dba Amazing Care Pediatric Outpatient Therapy

  • Speech-Language Pathologist
  • Centennial, CO
  • NPI 1285887273
  NPD
• Pediatric Speech Therapy Associates

  dba Summit Pediatric Therapy

  • Speech-Language Pathologist
  • Denver, CO
  • NPI 1851797211
  NPD (past)

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1760117204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6851 S HOLLY CIR STE 290",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121076",
            "telephone_number": "720-542-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6851 S HOLLY CIR STE 290",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121076",
            "telephone_number": "720-542-8737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODWORTH",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "4920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy William Wood, PMHNP-BC
• Laurie Woodard
• Katherina L Woods, DC
• Carolyn Woodson, OTR
• Julie K Woodward, PT
• Jacqueline Marie Woodyard
• Spencer Woolen, AGPC-NP
• Keli Wooley
• Workit Health Mi PLLC
• Natalie Worman, PT DPT

• Speech-Language Pathologist in Centennial, CO
• Providers in Centennial, CO by specialty
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.