Individual provider Active NPI

Kelli Lumaye, MA CCC-SLP

  • Speech-Language Pathologist
  • Larkspur, CO
National Provider Identifier
1760767560
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP.0002445 Issued in CO
Practice address
1389 Buttermilk Rd
Larkspur, CO 80118-8213
Phone
(317) 731-3029
NPI assigned
Oct 13, 2011
Last updated
Feb 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP.0002445 CO Primary

Addresses

Primary practice location

1389 Buttermilk Rd
Larkspur, CO 80118-8213

Mailing address

1389 Buttermilk Rd
Larkspur, CO 80118-8213
Phone (317) 731-3029

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Larkspur
CONNECT URL Larkspur

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 Arts

State licenses

LicenseStateTypeSpecialty
SLP.0002445COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lumaye Therapy, LLC Speech-Language Pathologist CurrentSince Aug 2, 2020 Accepting new patients

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": "1318464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1760767560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1389 BUTTERMILK RD",
            "city": "LARKSPUR",
            "state": "CO",
            "postal_code": "801188213",
            "telephone_number": "317-731-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1389 BUTTERMILK RD",
            "city": "LARKSPUR",
            "state": "CO",
            "postal_code": "801188213",
            "telephone_number": "317-731-3029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUMAYE",
        "first_name": "KELLI",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-13",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0002445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Larkspur",
            "affiliation": "N",
            "address_1": "1389 Buttermilk Rd",
            "city": "Larkspur",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801188213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Larkspur",
            "affiliation": "N",
            "address_1": "1389 Buttermilk Rd",
            "city": "Larkspur",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801188213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Larkspur, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.