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Deactivated NPI 1225412182 Deactivated / Inactive NPI Female Practitioner

Andrea Blum , MS, CCC-SLP

Speech-Language Pathologist • Parker, CO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Andrea Blum has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 10, 2015
NPI Deactivation Date May 07, 2019
Total Practice Duration ~4 Years of Practice (2015 – 2019)

Professional Overview & Biography Verified Profile Summary

Andrea Blum, MS, CCC-SLP was a registered Speech-Language Pathologist practicing in Parker, CO. Throughout an active medical career spanning 4 years, Andrea Blum provided care at the practice location at 11479 PINE DR OFC 1 until profile deactivation on 2019-05-07.

Practice Location & Contact Primary Location

Practice Address

11479 Pine Dr Ofc 1

Parker, CO 801347308

Telephone 3038406374
Associated Practice Facility / Clinic
🏢 Haaksma Speech Pathology, Llc Facility NPI 1376876748

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Parker, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.8 Yrs
State Avg: 10.8 Yrs
Regional Practice Density
98 Specialists

Practicing in Parker, 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License CO SLP.0001863

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License IL 146010806

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.

Secondary Practice Locations

268 S Emerson St

Denver, CO 802092212

Phone: 6308493751

Practice Associates & Co-Workers

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

19 Associated Practitioners
Katherine Foster

Speech-Language Pathologist

NPI 1023547965
Amy Rivera

Speech-Language Pathologist

NPI 1134676653
Sarah Jacquot , OTR, L

Occupational Therapist

NPI 1194338350

Occupational Therapist Registered, L

Rachel Crumbley

Speech-Language Pathologist

NPI 1205447083
Rebecca Lee

Occupational Therapist

NPI 1225673494
Melissa Irvin , MS, CCC, SLP

Speech-Language Pathologist

NPI 1285282442

Master of Science, Certificate of Clinical Competence, Speech-Language Pathologist

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location March 05, 2024

Registered at 11479 PINE DR OFC 1, PARKER, CO 801347308 (Tel: 3038406374)

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Updated Business Mailing Address March 05, 2024

Registered at 11479 PINE DR OFC 1, PARKER, CO 801347308 (Tel: 3038406374)

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Provider Name / Credentials Updated March 05, 2024

Recorded as ANDREA BLUM, M.S., CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2024

Speech-Language Pathologist (License #146010806 in IL)

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NPI Profile Deactivated May 07, 2019

Record deactivated on May 07, 2019

NPI Profile Active July 10, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 10, 2015

Registered at 268 S EMERSON ST, DENVER, CO 802092212 (Tel: 6308493751)

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Updated Business Mailing Address July 10, 2015

Registered at 268 S EMERSON ST, DENVER, CO 802092212 (Tel: 6308493751)

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Provider Name / Credentials Updated July 10, 2015

Recorded as ANDREA BLUM, M.S., CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2015

Speech-Language Pathologist (License #SLP.0001863 in CO)

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Initial NPI Registration & Enumeration July 10, 2015

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: 1225412182
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 10, 2015
Last Update: March 05, 2024
Deactivation Date: May 07, 2019
Sole Proprietor: Yes

Mailing Address

11479 Pine Dr Ofc 1

Parker, CO 801347308

Phone: 3038406374

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.