Active NPI
KVK Speech Therapy
- Speech-Language Pathologist
- Colorado Springs, CO
National Provider Identifier
1831853928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- KVK SPEECH THERAPY
- Practice address
- 4750 N Chestnut St
Colorado Springs, CO 80907-3530 - Phone
- (208) 221-7375
- NPI assigned
- Oct 26, 2021
- 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
- Katelyn Jean Sullivan-Vankeuren, MS CCC SLP
- Title
- Speech Language Pathologist
- Phone
- (208) 221-7375
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
4750 N Chestnut St
Colorado Springs, CO 80907-3530
Mailing address
4750 N Chestnut St
Colorado Springs, CO 80907-3530
Phone (208) 221-7375
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SLP.0000513 | Other | CO | COLORADO DEPARTMENT OF REGULATORY AGENCIES |
Other names 1
- KVK Speech Therapy
National Provider Directory
National Provider DirectoryLocations
4750 N Chestnut St
Colorado Springs, CO 80907
Phone (208) 221-7375
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
- Colorado Springs, CO
- NPI 1306187992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635206400000",
"number": "1831853928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4750 N CHESTNUT ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809073530",
"telephone_number": "208-221-7375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4750 N CHESTNUT ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809073530",
"telephone_number": "208-221-7375"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KVK SPEECH THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-26",
"last_updated": "2021-10-26",
"certification_date": "2021-10-26",
"status": "A",
"authorized_official_last_name": "SULLIVAN-VANKEUREN",
"authorized_official_first_name": "KATELYN",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "208-221-7375",
"authorized_official_credential": "MS CCC SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO DEPARTMENT OF REGULATORY AGENCIES",
"identifier": "SLP.0000513",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "KVK Speech Therapy",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.