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WOVEN CARE
NPI 1619580735
Speech-Language Pathologist in Pueblo, CO

Active since August 28, 2020
1301 FORTINO BLVD, PUEBLO, CO 81008(719) 696-7799 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 1, 2020, Sep 22, 2020, Sep 15, 2020 and 1 more (4 updates tracked since 2020).

About Woven Care NPPES

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

WOVEN CARE (NPI 1619580735) is a healthcare organization registered as a speech-language pathologist in Pueblo, Colorado and active in the NPI registry since August 2020. The organization lists Tanner Denn, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1619580735
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameBUCK JACK LLC
Location Address1301 FORTINO BLVDPueblo, CO 81008-2032
Mailing Address2233 Academy Pl Ste 200Colorado Springs, CO 80909-1666 · (719) 597-0822 · Fax (719) 599-4606
Phone(719) 696-7799
Organization SubpartNo
Authorized OfficialTanner DennCredentialing Specialist · (719) 428-1840
Enumeration DateAugust 28, 2020
Last NPPES UpdateFebruary 28, 20244 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2024
✔ NPI 1619580735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
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.
Also ListedBehavior AnalystTaxonomy 103K00000X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedOccupational TherapistTaxonomy 225X00000X
1301 FORTINO BLVD, Pueblo, CO 81008
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Other Names 1

Doing Business AsWoven Care

Other Identifiers 1

Medicaid9000188140CO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

NIA LEWIS
Speech-Language Pathologist
1301 FORTINO BLVD
PUEBLO, CO 81008
Pueblo County (719) 696-7799
AMANDA GRACE ELSTON
Speech-Language Pathologist
1301 FORTINO BLVD
PUEBLO, CO 81008
Pueblo County (719) 696-7799
AMBER MANN COTA/L
Occupational Therapy Assistant
1301 FORTINO BLVD
PUEBLO, CO 81008
Pueblo County (719) 696-7799
DESIRAE NICKOLE ORTIZ COTA/L
Occupational Therapy Assistant
1301 FORTINO BLVD
PUEBLO, CO 81008
Pueblo County (719) 696-7799
DR. KATELYNN CLARE PAULSEN PT, DPT
Physical Therapist
1301 FORTINO BLVD
PUEBLO, CO 81008
Pueblo County (719) 696-7799
BUCK JACK, LLC
Speech-Language Pathologist
1301 FORTINO BLVD
PUEBLO, CO 81008
Pueblo County (719) 597-0822
DANIELLE KATHERINE SANCHEZ COTA/L
Occupational Therapy Assistant
1301 FORTINO BLVD
PUEBLO, CO 81008
Pueblo County (719) 696-7799
HOLLY NIX
Speech-Language Pathologist
1301 FORTINO BLVD
PUEBLO, CO 81008
Pueblo County (719) 597-0822

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 Buck Jack LLC's NPI number?

The NPI number for Buck Jack LLC is 1619580735. It was assigned to this organization in the NPPES registry on August 28, 2020. The provider is doing business as Woven Care.

Where is Buck Jack LLC located?

Buck Jack LLC is located at 1301 Fortino Blvd, Pueblo, CO 81008. The listed phone number is (719) 696-7799.

What is Buck Jack LLC'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 Buck Jack LLC was last updated on February 28, 2024. 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.