Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1144782921 Individual Practitioner Female Practitioner

Alexandria Portillo , MA, SLP-CCC

Speech-Language Pathologist • Monument, CO

Professional Overview & Biography Verified Profile Summary

Alexandria Portillo, MA, SLP-CCC is a registered healthcare professional specializing in Speech-Language Pathologist in Monument, CO. Practice services are available at 17230 JACKSON CREEK PKWY STE 220 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

17230 Jackson Creek Pkwy Ste 220

Monument, CO 801327304

Telephone 7194883348
Associated Practice Facility / Clinic
🏢 Buck Jack Llc Facility NPI 1407467707

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Monument, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.8 Yrs
Regional Practice Density
15 Specialists

Practicing in Monument, 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: 2024-02-12
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License CO 14229709

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID American Speech And Hearing Association
14229709

Practice Associates & Co-Workers

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

40 Associated Practitioners
Susan Mcdonald

Behavior Technician

NPI 1003753567
Emily Morgan

Behavior Technician

NPI 1013472927
Michelle Stoddard

Behavior Technician

NPI 1033003892
Kaitlyn Blakesley

Behavior Technician

NPI 1053179622
Ana-Marie Nelson

Physical Therapist

NPI 1053892364
Sierra Vaught , BCBA

Behavior Analyst

NPI 1063165561

Board Certified Behavior Analyst

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location February 12, 2024

Registered at 17230 JACKSON CREEK PKWY STE 220, MONUMENT, CO 801327304 (Tel: 7194883348)

📍
Updated Business Mailing Address February 12, 2024

Registered at 1901 MANITOBA DR, COLORADO SPRINGS, CO 809103322 (Tel: 5056603457)

NPI Profile Active April 02, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 02, 2019

Registered at 17250 JACKSON CREEK PKWY STE 220, MONUMENT, CO 801327300 (Tel: 7194883348)

📍
Updated Business Mailing Address April 02, 2019

Registered at 934 E COSTILLA ST, COLORADO SPRINGS, CO 809033771 (Tel: 5056603457)

👤
Provider Name / Credentials Updated April 02, 2019

Recorded as ALEXANDRIA PORTILLO, MA, SLP-CCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2019

Speech-Language Pathologist (License #14229709 in CO)

🟢
Initial NPI Registration & Enumeration April 02, 2019

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: 1144782921
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 02, 2019
Last Update: February 12, 2024
Sole Proprietor: No

Mailing Address

1901 Manitoba Dr

Colorado Springs, CO 809103322

Phone: 5056603457

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.