Individual provider Active NPI

Leann F Sipple, MS CCC SLP

  • Speech-Language Pathologist
  • Fort Collins, CO
National Provider Identifier
1952478000
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
09148753 Issued in CO
Practice address
333 W Drake Rd
Fort Collins, CO 80526-6320
Phone
(970) 817-1053
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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 09148753 CO Primary

Addresses

Primary practice location

333 W Drake Rd
Fort Collins, CO 80526-6320

Mailing address

1902 Silvergate Rd
Fort Collins, CO 80526-3355
Phone (970) 817-1053

Other practice location 1

1902 Silvergate Rd
Fort Collins, CO 80526-3355
Phone (970) 817-1053

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

LicenseStateTypeSpecialty
09148753COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Momentum Speech Therapy Speech-Language Pathologist CurrentSince Jul 17, 2021 Accepting new patients

Locations

333 W Drake Rd
Fort Collins, CO 80526
Phone (970) 218-3381

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1952478000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 SILVERGATE RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805263355",
            "telephone_number": "970-817-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W DRAKE RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266320",
            "telephone_number": "970-817-1053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1902 Silvergate Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805263355",
            "country_code": "US",
            "telephone_number": "970-817-1053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIPPLE",
        "first_name": "LEANN",
        "middle_name": "F",
        "credential": "MS CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "09148753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.