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NPI 1447829247ActiveOrganization· Speech-Language Pathologist· Highlands Ranch, CO

Speech-Language Pathologist in Highlands Ranch, Colorado, registered in NPPES in June 2021. The authorized official on file is Theresa Tustain Kennedy, MS, CCC-SLP, Speech Pathologist/ Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1447829247
StatusActive
Entity typeOrganization
NPI issuedJun 24, 2021
Last updated in NPPESAug 11, 2026
Certified by providerAug 11, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary235Z00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (HI)

Medicare sources and data years

Other Speech-Language Pathologist providers in Highlands Ranch

All Speech-Language Pathologist providers in Colorado →