Individual provider Active NPI

Kristen Richards

  • Speech-Language Pathologist
  • Pueblo, CO
National Provider Identifier
1881441491
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0001256 Issued in CO
Practice address
126 W D St Ste 100C
Pueblo, CO 81003-4430
Phone
(719) 621-1182
NPI assigned
May 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 0001256 CO Primary

Addresses

Primary practice location

126 W D St Ste 100C
Pueblo, CO 81003-4430

Mailing address

1820 Pine Cone Dr
Brownsburg, IN 46112-7705
Phone (765) 993-6679

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0001256COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pueblo Speech and Neurological Rehabilitation Center Speech-Language Pathologist CurrentSince May 8, 2024 Accepting new patients

Locations

126 W D St
Ste 100C
Pueblo, CO 81003
Phone (719) 621-1182

140 W 29th St
Pueblo, CO 81008

4015 Jerry Murphy Rd
Pueblo, CO 81001
Phone (719) 250-4757

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1881441491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 PINE CONE DR",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461127705",
            "telephone_number": "765-993-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 W D ST STE 100C",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810034430",
            "telephone_number": "719-621-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "KRISTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "0001256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.