Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063823516 Individual Practitioner Female Practitioner

Alexandra B Carrillo , MA-SLP

Speech-Language Pathologist • Boulder, CO

Professional Overview & Biography Verified Profile Summary

Alexandra Carrillo, MA-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Boulder, CO. Practice services are available at 2501 KITTREDGE LOOP RD 409 UCB under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2501 Kittredge Loop Rd 409 Ucb

Boulder, CO 803092420

Telephone 3034925375
Fax 3034926560
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Boulder, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.3 Yrs
State Avg: 10.8 Yrs
Regional Practice Density
167 Specialists

Practicing in Boulder, CO (4289 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-09-30
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License CO SLP.0002267

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Christina Riseman , MA CCC-SLP

Speech-Language Pathologist

NPI 1053887331

MACCCSLP

Holly Kleiber

Speech-Language Pathologist

NPI 1063908747
Jennifer Lewon

Speech-Language Pathologist

NPI 1104404151
Jen Marson Parker

Speech-Language Pathologist

NPI 1629515721
Sharyl Hoepfinger , MA, CCC-SLP

Speech-Language Pathologist

NPI 1851817621

Master of Arts, Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location September 30, 2021

Registered at 2501 KITTREDGE LOOP RD 409 UCB, BOULDER, CO 803092420 (Tel: 3034925375)

📍
Updated Business Mailing Address September 30, 2021

Registered at 8657 W 95TH DR, WESTMINSTER, CO 800215322 (Tel: 3034442248)

NPI Profile Active December 14, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location December 14, 2015

Registered at 13660 W ALASKA DR, LAKEWOOD, CO 802282420 (Tel: 3034442248)

📍
Updated Business Mailing Address December 14, 2015

Registered at 6801 E ITHACA PL, DENVER, CO 802371268 (Tel: 3034442248)

👤
Provider Name / Credentials Updated December 14, 2015

Recorded as ALEXANDRA CARRILLO, MA-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 14, 2015

Speech-Language Pathologist (License #SLP.0002267 in CO)

🟢
Initial NPI Registration & Enumeration May 17, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063823516
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 17, 2014
Last Update: September 30, 2021
Sole Proprietor: Yes

Mailing Address

8657 W 95th Dr

Westminster, CO 800215322

Phone: 3034442248

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.