KID CREW, LLC (NPI# 1255567194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255567194 |
| Entity Type | Organization |
| Organization Name | KID CREW, LLC |
| Practice Address |
1150 Maxwell Ave Boulder CO 80304-4185 |
| Mailing Address |
1205 8th St Golden CO 80401-1089 |
| Practice Telephone | 3033306411 |
| Mailing Telephone | 3033306411 |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2009-06-05 |
| Authorized Official Name | JENNY RICKS (SOLE PROPRIETOR) |
| Authorized Official Telephone | 3033306411 |
| Authorized Official Credential | M.S., CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 12091959 | Speech, Language and Hearing Service Providers |
| Street Address |
1150 MAXWELL AVE |
| City | BOULDER |
| State | CO |
| Zip Code | 80304-4185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972657625 | Stephen Corsale | Acupuncturist | 1150 Maxwell Ave, Boulder, CO 80304-4185 | 2007-01-22 |
| 1265891162 | Innerchange Vive | Social Worker | 1150 Maxwell Ave, Suite 200, Boulder, CO 80304-4185 | 2016-02-19 |
| 1962745489 | James Gerweck Dmd LLC | Dentist | 1150 Maxwell Ave, Boulder, CO 80304-4185 | 2013-04-03 |
| 1760652465 | Judy Marie Lafler Converse | Dietitian, Registered | 1150 Maxwell Ave, Boulder, CO 80304-4185 | 2008-03-10 |
| 1629122023 | Kate Anine Mcbreen | Acupuncturist | 1150 Maxwell Ave, Boulder, CO 80304-4185 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720605256 | Evol.v Chiropractic LLC | Chiropractor | 2401 Broadway #208, Boulder, CO 80304 | 2020-07-01 |
| 1760038723 | Patrica Anne Zeyher | Counselor | 100 Alpine Ave., Boulder, CO 80304 | 2019-08-15 |
| 1356855928 | Opal Counseling Center, LLC | Counselor | 1480 Lee Hill Dr. #7, Boulder, CO 80304 | 2017-11-19 |
| 1831608603 | Lesley Ann Cloke | Dietitian, Registered | 1895 Bluff St., Unit C, Boulder, CO 80304 | 2017-09-25 |
| 1790209740 | Megan Litwiller | Occupational Therapist | 810 Maxwell Ave, Boulder, CO 80304 | 2017-08-01 |
| 1285163774 | Nadine Martin | Registered Nurse | 311 Mapleton Ave # 331, Boulder, CO 80304 | 2017-06-08 |
| 1598119281 | Megan Cronin Larson | Social Worker | 825 S. Broadway Street, Boulder, CO 80304 | 2016-04-19 |
| 1760844237 | Rafia Rebeck | Counselor | 1235 Elder Ave #7, Boulder, CO 80304 | 2016-03-24 |
| 1629441688 | Jennifer S Delaney | Counselor | 2334 Broadway, Ste. B, Boulder, CO 80304 | 2015-11-12 |
| 1891162301 | Kingston Dialysis LLC | Clinic/Center | 2880 Folsom St Ste 110, Boulder, CO 80304 | 2015-09-01 |
| Find all providers in zip 80304 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533197 | Sarah Melinda Alcott Hershey | Speech-Language Pathologist | 2807 Sundown Ln Apt 308, Boulder, CO 80303-1784 | 2020-09-16 |
| 1326651977 | Lisa Muratore Beckelhymer | Speech-Language Pathologist | 3701 Arapahoe Ave Unit 419, Boulder, CO 80303-1396 | 2020-08-24 |
| 1558919720 | Meredith Strauss | Speech-Language Pathologist | 87 Benthaven Pl, Boulder, CO 80305-6200 | 2019-08-29 |
| 1821657354 | Katelyn Nemitz | Speech-Language Pathologist | 4742 Edison Ln, Boulder, CO 80301-2269 | 2019-06-09 |
| 1518525559 | Isaac Wang | Speech-Language Pathologist | 1604 Arapahoe Ave, Boulder, CO 80302-6393 | 2019-06-04 |
| 1851864938 | Neu Skills Therapy, LLC | Speech-Language Pathologist | 2995 55th St Unit 17596, Boulder, CO 80308-5225 | 2019-01-10 |
| 1053887331 | Christina Riseman | Speech-Language Pathologist | Slhc, 2501 Kittredge Loop Rd., 409 Ucb, Boulder, CO 80309 | 2018-10-15 |
| 1558877217 | Emily Garabed | Speech-Language Pathologist | 4483 S Meadow Dr, Boulder, CO 80301-3947 | 2017-12-18 |
| 1396259339 | Haylee Neuhaus | Speech-Language Pathologist | 3060 29th St Apt 2, Boulder, CO 80301-1353 | 2017-11-29 |
| 1386156602 | Allegra Ludwig Michael | Speech-Language Pathologist | 1494 Yaupon Ave, Boulder, CO 80304-4348 | 2017-10-26 |
| Find all providers in BOULDER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.