Kathleen Rose Fahey, PH.D., CCC-ALP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

00623629

Practice address

Unc Speech and Audiology Clinic
Gunter Hall Room 0330
Greeley, CO 80639-0001

Phone

(970) 351-2012

Fax

(970) 351-1601

NPI assigned

Sep 13, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1861487183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5137 W 12TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806342138",
            "telephone_number": "970-353-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNC SPEECH AND AUDIOLOGY CLINIC",
            "address_2": "GUNTER HALL ROOM 0330",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806390001",
            "telephone_number": "970-351-2012",
            "fax_number": "970-351-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHEY",
        "first_name": "KATHLEEN",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "PH.D., CCC-ALP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": "00623629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07623622",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.