Patricia Anne Rose, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP.0000957 Issued in CO

Practice address

704 Fortino Blvd
Suite a
Pueblo, CO 81008-2086

Phone

(719) 305-8300

Fax

(719) 305-9723

NPI assigned

Sep 29, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Patricia Anne Kuntz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443484800000",
    "number": "1972973287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 FORTINO BLVD",
            "address_2": "SUITE A",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082086",
            "telephone_number": "719-305-8300",
            "fax_number": "719-305-9723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 FORTINO BLVD",
            "address_2": "SUITE A",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082086",
            "telephone_number": "719-305-8300",
            "fax_number": "719-305-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "PATRICIA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0000957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "KUNTZ",
            "middle_name": "ANNE",
            "prefix": "MS.",
            "credential": "M.S., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rosalinda Pena (Crystal Clear Christian Counseling Services)
• Rose Massage Therapy, LLC
• Amy J Rose, RN, LMT, CNMT
• Barbara R Rose, MSW, LCSW
• John Rose
• Michael Rosen-Pyros, D.O.
• Wendy Rosen, CPFS, QBHA
• Jeffrey Roskam
• Jorden Starr Ross
• Rayelle Ross, SWT

• Speech-Language Pathologist in Pueblo, CO
• Providers in Pueblo, 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 Sep 29, 2015; 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.