KATIE LYNN PROVORSE
NPI 1568901841
Speech-Language Pathologist in Buena Vista, CO

Active since February 19, 2017
113 N COURT ST, BUENA VISTA, CO 81211(719) 395-7054 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 5, 2023, Feb 19, 2017 (2 updates tracked since 2017).

About Katie Lynn Provorse NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATIE LYNN PROVORSE (NPI 1568901841) is an individual speech-language pathologist provider in Buena Vista, Colorado, licensed in Colorado (PSLP.0000204) and active in the NPI registry since February 2017. She maintains a secondary practice location in Salida.

NPPES Registry Identity

NPI1568901841
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKATIE LYNN PROVORSE
Location Address113 N COURT STBuena Vista, CO 81211-2027
Mailing Address10335 Piute DrSalida, CO 81201-8515 · (719) 207-1054
Sole ProprietorNo
Enumeration DateFebruary 19, 2017
Last NPPES UpdateOctober 5, 20232 updates tracked since enumeration
NPPES CertifiedOctober 4, 2023
NPI 1568901841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in CO · PSLP.0000204
Definition
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.
113 N COURT ST, Buena Vista, CO 81211

Other Names 1

Former Name (1)Katie Lynn Pena Luna

Secondary Practice Location 1

Location 110335 Piute DrSalida, CO 81201-8515 · Phone (719) 207-1054

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Local Education Agency (LEA)
113 N COURT ST
BUENA VISTA, CO 81211

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katie Provorse's NPI number?

The NPI number for Katie Provorse is 1568901841. It was assigned to this individual provider in the NPPES registry on February 19, 2017. The provider is also known as Katie Lynn Pena Luna.

Where is Katie Provorse located?

Katie Provorse practices at 113 N Court St, Buena Vista, CO 81211. The listed phone number is (719) 395-7054.

What is Katie Provorse's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Katie Provorse was last updated on October 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.