Active NPI
Angela Grace Dimercurio Simpson, MS/CCC-SLP
- Speech-Language Pathologist
- Glenwood Springs, CO
National Provider Identifier
1861269011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 24367200
- Practice address
- Sopris Elementary School
1150 Mt Sopris Dr
Glenwood Springs, CO 81601 - Phone
- (970) 379-3394
- NPI assigned
- Dec 7, 2023
- Last updated
- Dec 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 24367200 | CO | Primary |
Addresses
Primary practice location
Sopris Elementary School
1150 Mt Sopris Dr
Glenwood Springs, CO 81601
Mailing address
Sopris Elementary School
1150 Mt Sopris Dr
Glenwood Springs, CO 81601
Phone (970) 379-3394
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24367200 | CO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701907200000",
"number": "1861269011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SOPRIS ELEMENTARY SCHOOL",
"address_2": "1150 MT SOPRIS DR",
"city": "GLENWOOD SPRINGS",
"state": "CO",
"postal_code": "81601",
"telephone_number": "970-379-3394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SOPRIS ELEMENTARY SCHOOL",
"address_2": "1150 MT SOPRIS DR",
"city": "GLENWOOD SPRINGS",
"state": "CO",
"postal_code": "81601",
"telephone_number": "970-379-3394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMPSON",
"first_name": "ANGELA",
"middle_name": "GRACE DIMERCURIO",
"credential": "MS/CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-07",
"last_updated": "2023-12-07",
"certification_date": "2023-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CO",
"license": "24367200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glenwood Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.