Active NPI
Jessica M Gates, MS SLP-CCC
- Speech-Language Pathologist
- Parker, CO
National Provider Identifier
1881089811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 117136
- Practice address
- 10841 Crossroads Dr Ste 201
Parker, CO 80134-9091 - Phone
- (720) 515-8254
- NPI assigned
- Apr 6, 2015
- Last updated
- May 20, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200203000936 | CO | Practitioner - Qualified Speech Language Pathologist | 1456787829 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000981 | CO | MD | Speech-Language Pathologist |
| 117136 | CO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dragonfly Pediatric Speech Therapy | Speech-Language Pathologist | Current | 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.
-
- Speech-Language Pathologist
- Centennial, CO
- NPI 1457965584
-
- Speech-Language Pathologist
- Centennial, CO
- NPI 1467143982
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.