Active NPI
Bluebird Sky Therapy
- Hearing and Speech Clinic/Center
- Castle Pines, CO
National Provider Identifier
1790561538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing and Speech Clinic/Center
- Legal business name
- BLUEBIRD SKY THERAPY
- Practice address
- 8415 Briar Trace Drive
Castle Pines, CO 80108 - Phone
- (812) 483-0394
- NPI assigned
- Sep 7, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Emily Wolkenberg, MA CCC-SLP
- Title
- Speech-Language Pathologist
- Phone
- (812) 483-0394
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing and Speech Clinic/Center | 261QH0700X | Primary |
Addresses
Primary practice location
8415 Briar Trace Drive
Castle Pines, CO 80108
Mailing address
6767 S Vine St # 1176
Centennial, CO 80122-3171
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6767 S Vine St
Centennial, CO 80122
Phone (720) 292-7885
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Castle Pines, CO
- NPI 1255012340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694044800000",
"number": "1790561538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6767 S VINE ST # 1176",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801223171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8415 BRIAR TRACE DRIVE",
"city": "CASTLE PINES",
"state": "CO",
"postal_code": "80108",
"telephone_number": "812-483-0394"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUEBIRD SKY THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-07",
"last_updated": "2023-09-07",
"certification_date": "2023-09-05",
"status": "A",
"authorized_official_last_name": "WOLKENBERG",
"authorized_official_first_name": "EMILY",
"authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "812-483-0394",
"authorized_official_credential": "MA CCC-SLP"
},
"taxonomies": [
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Castle Pines, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.