Active NPI
Collene Alyce Ladd, M.S., CCC-SLP
- Speech-Language Pathologist
- Rio Rancho, NM
National Provider Identifier
1972713659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3294
- Practice address
- 2400 Unser Blvd SE
Rio Rancho, NM 87124-3392 - Phone
- (505) 253-7223
- Fax
- (505) 253-1517
- NPI assigned
- May 23, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3294 | NM | Primary |
Addresses
Primary practice location
2400 Unser Blvd SE
Rio Rancho, NM 87124-3392
Mailing address
2400 Unser Blvd SE
Rio Rancho, NM 87124-3392
Phone (505) 253-7223
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3294 | NM | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326931200000",
"number": "1972713659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 UNSER BLVD SE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871243392",
"telephone_number": "505-253-7223",
"fax_number": "505-253-1517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 UNSER BLVD SE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871243392",
"telephone_number": "505-253-7223",
"fax_number": "505-253-1517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LADD",
"first_name": "COLLENE",
"middle_name": "ALYCE",
"name_prefix": "Mrs.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2012-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NM",
"license": "3294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.