Organization Active NPI

KVK Speech Therapy

  • Speech-Language Pathologist
  • Colorado Springs, CO
National Provider Identifier
1831853928
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
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

Updated by the provider on Oct 26, 2021

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 SLPNPI 1306187992
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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
SLP.0000513OtherCOCOLORADO DEPARTMENT OF REGULATORY AGENCIES

Other names 1

  • KVK Speech Therapy Other name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.