Provider Type Icon

DRAGONFLY PEDIATRIC SPEECH THERAPY NPI 1457965584


NPI Information

NPI: 1457965584
Provider Name: DRAGONFLY PEDIATRIC SPEECH THERAPY
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
9000 E NICHOLS AVE STE 140
CENTENNIAL, CO
ZIP 80112
Phone: (720) 515-8254
Get Directions

DRAGONFLY PEDIATRIC SPEECH THERAPY is a speech language pathologist in Centennial, CO. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. DRAGONFLY PEDIATRIC SPEECH THERAPY NPI is 1457965584. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9000 E NICHOLS AVE STE 140
CENTENNIAL, CO
ZIP 80112-406
Phone: (720) 515-8254
Fax: (720) 575-9914

The provider's authorized official is Jessica M Gates .
The authorized official title is Speech Language Pathologist/owner and has the following contact phone number (720) 515-8254.

The enumeration date for this NPI number is 9/5/2020 and was last updated on 4/2/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225X00000XOccupational TherapistNo
2235Z00000XSpeech-Language PathologistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11881089811MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.