Individual provider Active NPI

Kelly Gorman, MS CCC SLP

  • Speech-Language Pathologist
  • Greenwood Village, CO
National Provider Identifier
1801272778
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
14066997(ASHA) Issued in CO
Practice address
1885 Cherryville Rd
C/O Aac Specialists, LLC
Greenwood Village, CO 80121-1504
Phone
(303) 204-5188
Fax
(303) 761-9491
NPI assigned
Aug 3, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2015

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 14066997(ASHA) CO Primary

Addresses

Primary practice location

1885 Cherryville Rd
C/O Aac Specialists, LLC
Greenwood Village, CO 80121-1504

Mailing address

1885 Cherryville Rd
C/O Aac Specialists, LLC
Greenwood Village, CO 80121-1504
Phone (303) 204-5188

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151104002542 CO Practitioner - Qualified Speech Language Pathologist 1052621935 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
14066997(ASHA)COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aac Specialists, LLC Speech-Language Pathologist CurrentSince Sep 21, 2015 Accepting new patients
No Boundaries Remote Solutions LLC Speech-Language Pathologist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1801272778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 CHERRYVILLE RD",
            "address_2": "C/O AAC SPECIALISTS, LLC",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801211504",
            "telephone_number": "303-204-5188",
            "fax_number": "303-761-9491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 CHERRYVILLE RD",
            "address_2": "C/O AAC SPECIALISTS, LLC",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801211504",
            "telephone_number": "303-204-5188",
            "fax_number": "303-761-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMAN",
        "first_name": "KELLY",
        "credential": "MS CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "14066997(ASHA)",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.

Verify at the official NPI Registry.