Amy Marie Prevost, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12072374 Issued in CO

Practice address

2765 Danbury Ave
Highlands Ranch, CO 80126-8060

Phone

(303) 842-7038

NPI assigned

Jul 31, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1851945406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2765 DANBURY AVE",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801268060",
            "telephone_number": "303-842-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2765 DANBURY AVE",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801268060",
            "telephone_number": "303-842-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREVOST",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-31",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "12072374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Precision Specialty Care LLC
• Precision Wound Care Specialists PLLC
• Premier Chiropractic and Natural Medicine, P.C.
• Premier Pain Management LLC
• Linda Sue Preshaw, MA CCC COM MBA
• Primary Care and Chiropractic Inc
• Proactive Counseling Services, Inc
• Project Prehab
• Veronica Pryor, DDS
• Heksa Purwitasari, MT

• Speech-Language Pathologist in Highlands Ranch, CO
• Providers in Highlands Ranch, CO by specialty
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.