Advanced Speech Therapy, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

01113646

Legal business name

ADVANCED SPEECH THERAPY, LLC

Practice address

3015 Hollycrest Dr
Colorado Springs, CO 80920-3030

Phone

(719) 460-8386

Fax

(719) 522-0159

NPI assigned

Jul 6, 2009

Last updated

Jul 6, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Heidi Burnett, MA, CCC-SLPNPI 1376738757

Title

Owner

Phone

(719) 460-8386

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Heidi Burnett

  • Speech-Language Pathologist
  • Colorado Springs, CO
  • NPI 1376738757
  Authorized official Same address or phone

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

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246838400000",
    "number": "1770712382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 HOLLYCREST DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203030",
            "telephone_number": "719-460-8386",
            "fax_number": "719-522-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 HOLLYCREST DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203030",
            "telephone_number": "719-460-8386",
            "fax_number": "719-522-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-06",
        "last_updated": "2009-07-06",
        "status": "A",
        "authorized_official_last_name": "BURNETT",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-460-8386",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": "01113646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Colorado Springs, CO
• Providers in Colorado Springs, 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 6, 2009; 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.