Fahtieema Omotosho

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14393767 Issued in NM

Practice address

1860 N Lincoln St FL 11
Denver, CO 80203-2996

Phone

(720) 423-2660

NPI assigned

Mar 29, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Eastern New Mexico University

  • Speech-Language Pathologist
  • Portales, NM
  • NPI 1356115273
  NPD (past)

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1952806010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S AVE K STATION 3, SHROC",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "88130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 N LINCOLN ST FL 11",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802032996",
            "telephone_number": "720-423-2660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 S Ave K Station 3, SHROC",
            "address_purpose": "LOCATION",
            "city": "Portales",
            "state": "NJ",
            "postal_code": "88130",
            "country_code": "US",
            "telephone_number": "575-562-1011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OMOTOSHO",
        "first_name": "FAHTIEEMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": "390200000X",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "14393767",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "14393767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol L Omeara, NP
• Omega Home Health LLC
• Omega Home Health LLC
• Omega Transition Agency Inc
• Omni Counseling and Nutrition
• Phanuel Rowlands Omulo
• Maurine C Onat, MD
• Christain L Ondriezek
• One Circle, LLC
• One Hour Optical Medical Services, PC

• Speech-Language Pathologist in Denver, CO
• Providers in Denver, CO by specialty
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.