Individual provider Active NPI

Taryn Bushey, SLP

  • Speech-Language Pathologist
  • Fort Collins, CO
National Provider Identifier
1770987687
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
3509 Lochwood Dr
Fort Collins, CO 80525-5782
Phone
(970) 475-1950
NPI assigned
Oct 21, 2014
Last updated
Jun 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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 NU Primary

Addresses

Primary practice location

3509 Lochwood Dr
Fort Collins, CO 80525-5782

Mailing address

3509 Lochwood Dr
Fort Collins, CO 80525-5782
Phone (970) 432-8810

Other practice location 1

7 Baldwin St
Franklin, NH 03235-2000
Phone (603) 934-2541

Other names 1

  • Taryn Coulombe Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210813002124 CO Practitioner - Qualified Speech Language Pathologist 5395149231 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empowerme Rehabilitation Colorado, LLCGroup PAC ID 0446641179, 99 clinicians

Practice addresses (Care Compare)

2440 S Wabash St
Modena Cherry Creek
Denver, CO 80231-3808
Phone (314) 673-6747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation Colorado, LLC Speech-Language Pathologist CurrentSince Jul 30, 2024 Accepting new patients
Legacy Healthcare Services Inc. Speech-Language Pathologist CurrentSince Jun 30, 2021 Accepting new patients
Legacy Healthcare Services Inc Speech-Language Pathologist CurrentSince Jun 30, 2021 Accepting new patients

Locations

3509 Lochwood Dr
Fort Collins, CO 80525
Phone (970) 689-2762

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (919) 861-2441

Organizations & group practices 3

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": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1770987687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 LOCHWOOD DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255782",
            "telephone_number": "970-432-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 LOCHWOOD DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255782",
            "telephone_number": "970-475-1950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Baldwin St",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "NH",
            "postal_code": "032352000",
            "country_code": "US",
            "telephone_number": "603-934-2541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSHEY",
        "first_name": "TARYN",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-21",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARYN",
            "last_name": "COULOMBE",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.