Active NPI
Krista Anne Gorman, M.A. CCC-SLP
- Speech-Language Pathologist
- Denver, CO
National Provider Identifier
1992171300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 33242
- Practice address
- 3700 Quebec St
Unit 100-337
Denver, CO 80207-1638 - Phone
- (917) 406-7897
- NPI assigned
- Aug 19, 2015
- 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 | 33242 | CO | Primary |
Addresses
Primary practice location
3700 Quebec St
Unit 100-337
Denver, CO 80207-1638
Mailing address
4613 W 33Rd Ave
Denver, CO 80212-1803
Phone (917) 406-7897
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33242 | CO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439942400000",
"number": "1992171300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4613 W 33RD AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802121803",
"telephone_number": "917-406-7897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 QUEBEC ST",
"address_2": "UNIT 100-337",
"city": "DENVER",
"state": "CO",
"postal_code": "802071638",
"telephone_number": "917-406-7897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORMAN",
"first_name": "KRISTA",
"middle_name": "ANNE",
"credential": "M.A. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-19",
"last_updated": "2015-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CO",
"license": "33242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.