Individual provider Active NPI

Jessica M Gates, MS SLP-CCC

  • Speech-Language Pathologist
  • Parker, CO
National Provider Identifier
1881089811
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
117136 Issued in CO
Practice address
10841 Crossroads Dr Ste 201
Parker, CO 80134-9091
Phone
(720) 515-8254
NPI assigned
Apr 6, 2015
Last updated
May 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 000981 CO
Speech-Language Pathologist 235Z00000X 117136 CO Primary

Addresses

Primary practice location

10841 Crossroads Dr Ste 201
Parker, CO 80134-9091

Mailing address

16315 Bluebell PL
Parker, CO 80134-9248
Phone (303) 868-7888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200203000936 CO Practitioner - Qualified Speech Language Pathologist 1456787829

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
000981COMDSpeech-Language Pathologist
117136COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dragonfly Pediatric Speech Therapy Speech-Language Pathologist CurrentSince May 25, 2021 Accepting new patients
Dragonfly Pediatric Speech Therapy Speech-Language Pathologist Current Accepting new patients

Locations

10841 Crossroads Dr
Ste 201
Parker, CO 80134
Phone (720) 515-8254

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1881089811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16315 BLUEBELL PL",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801349248",
            "telephone_number": "303-868-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10841 CROSSROADS DR STE 201",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801349091",
            "telephone_number": "720-515-8254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATES",
        "first_name": "JESSICA",
        "middle_name": "M",
        "credential": "MS SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-06",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "000981",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "117136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.