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Colleen Bridget Wallace , MS, CCC-SLP

Speech-Language Pathologist β€’ Anchorage, AK

Active NPI 1427440387 Individual Practitioner Female Practitioner
Practice location in NPPES

4050 Lake Otis Pkwy, Suite 201
Anchorage, AK 995085223

Call 5054897764 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4050 Lake Otis Pkwy
Suite 201

Anchorage, AK 995085223

Telephone 5054897764
Organization at the Same NPPES Address or Phone
William E Erickson Anp Pc Facility NPI 1942352117

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Anchorage and Alaska

201 active clinicians are listed under Speech-Language Pathologist with a practice address in Anchorage, AK (415 in Alaska).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Anchorage

2.5% of these 201 clinicians have the CMS telehealth indicator.

2.5% of these 201 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-04-06
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES AK 489

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Alaska State Medical Licensing Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
1031087 (AK)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Joy Backstrum , PT

Physical Therapist

NPI 1760505382

Physical Therapist

Dr. Greg Harr , DMD

Dentist - General Practice

NPI 1134296759

Doctor of Dental Medicine

Catherine Piraino , PT

Physical Therapist

NPI 1376743245

Physical Therapist

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ‘€
Provider Name / Credentials Updated April 06, 2022

Recorded as COLLEEN WALLACE, M.S, CCC-SLP

βœ…
NPI Profile Active March 02, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 02, 2015

Registered at 4050 LAKE OTIS PKWY, SUITE 201, ANCHORAGE, AK 995085223 (Tel: 5054897764)

πŸ“
Business Mailing Address (Initial Record) March 02, 2015

Registered at 2201 ROMIG PL, # 406, ANCHORAGE, AK 995031680 (Tel: 5054897764)

πŸ‘€
Provider Name / Credentials (Initial Record) March 02, 2015

Recorded as COLLEEN HILL, M.S, CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2015

Speech-Language Pathologist (license number reported to NPPES: AK 489)

🟒
Initial NPI Registration & Enumeration March 02, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1427440387
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 02, 2015
Last Update: April 06, 2022
Sole Proprietor: Yes

Other Speech-Language Pathologists in Anchorage

Healthcare providers in Anchorage

Mailing Address

2201 Romig Pl, # 406

Anchorage, AK 995031680

Phone: 5054897764

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.