Individual provider Active NPI

Courtney Rowan

  • Speech-Language Pathologist
  • Broomfield, CO
National Provider Identifier
1992285829
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
27732 Issued in CA
Practice address
11001 W 120TH Ave Ste 310
Broomfield, CO 80021-3493
Phone
(866) 302-0073
NPI assigned
Aug 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 13198 NC
Speech-Language Pathologist 235Z00000X 9938 MN
Speech-Language Pathologist 235Z00000X 27732 CA Primary

Addresses

Primary practice location

11001 W 120TH Ave Ste 310
Broomfield, CO 80021-3493

Mailing address

1409 126TH Ave NW
Coon Rapids, MN 55448-4005

Other practice location 1

1409 126th Ave NW
Coon Rapids, MN 55448-4005
Phone (763) 438-9923

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

State licenses

LicenseStateTypeSpecialty
27732CAMDSpeech-Language Pathologist
9938MNMDSpeech-Language Pathologist
13198NCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1992285829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 126TH AVE NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554484005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11001 W 120TH AVE STE 310",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800213493",
            "telephone_number": "866-302-0073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1409 126th Ave NW",
            "address_purpose": "LOCATION",
            "city": "Coon Rapids",
            "state": "MN",
            "postal_code": "554484005",
            "country_code": "US",
            "telephone_number": "763-438-9923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROWAN",
        "first_name": "COURTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "13198",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "9938",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "27732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; 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.