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Search › Colorado › 225X00000X

Nicholas Shahmohammadi

NPI 1649093683 · on the registry since 2024

Practice

Address
1301 Fortino Blvd
Pueblo, CO 81008
Phone
(719) 696-7799
Organisation at this address
Buck Jack Llc
Buck Jack Llc
Buck Jack, Llc
Buck Jack, Llc
Amy Shandy, Speech-Language Pathologist, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
20

Registry record

Primary taxonomy
225X00000X
225X00000X
Also registered as
225200000X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-12-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado