Individual provider Active NPI

Kelly A Lynett, SLP

  • Speech-Language Pathologist
  • Denver, CO
National Provider Identifier
1770923625
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3773-154 Issued in WI
Practice address
4100 E Mississippi Ave Ste 1250
Denver, CO 80246-3047
Phone
(303) 749-0424
NPI assigned
Jun 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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 SLP.0003226 CO
Speech-Language Pathologist 235Z00000X 3773-154 WI Primary

Addresses

Primary practice location

4100 E Mississippi Ave Ste 1250
Denver, CO 80246-3047

Mailing address

2109 S Ogden St # 4
Denver, CO 80210-4522
Phone (608) 516-5809

Other practice location 1

4610 S Ulster St Ste 1001
Denver, CO 80237-4321
Phone (303) 773-1184

Other identifiers 2

IdentifierTypeStateIssuer
3773-154OtherWIWI-STATE LICENSE
SLP.0003226OtherCOCO STATE LICENSE

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

State licenses

LicenseStateTypeSpecialty
SLP.0003226COMDSpeech-Language Pathologist
3773-154WIMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1770923625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 S OGDEN ST # 4",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802104522",
            "telephone_number": "608-516-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 E MISSISSIPPI AVE STE 1250",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802463047",
            "telephone_number": "303-749-0424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4610 S Ulster St Ste 1001",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802374321",
            "country_code": "US",
            "telephone_number": "303-773-1184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYNETT",
        "first_name": "KELLY",
        "middle_name": "A",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-25",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0003226",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "3773-154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WI-STATE LICENSE",
            "identifier": "3773-154",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CO STATE LICENSE",
            "identifier": "SLP.0003226",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.