Christine Medina, SLP

Individual provider Active NPI Speech-Language Pathologist · Centura, CA

NPI 1003272089 · NPPES record last updated Sep 1, 2026

Key facts

NPI
1003272089
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
29935 (CA)
Practice address
1857 Knoll Drive
Centura, CA 93003
Phone
(805) 667-8200
Fax
(805) 667-8201
NPI assigned
Jan 6, 2016
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Qualified Speech Language Pathologist
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7600 Chevy Chase Dr
Suite 300
Austin, TX 78752-1503

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
SZ9021FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Therapy Network, Inc. Speech-Language Pathologist Current
since Dec 6, 2020
Accepting new patients

Locations

1857 Knoll Dr
Ventura, CA 93003
Phone (805) 667-8200

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SZ9021 FL
Speech-Language Pathologist 235Z00000X 2202012600 VA
Speech-Language Pathologist 235Z00000X 29935 CA Yes

Addresses

Primary practice location

1857 Knoll Drive
Centura, CA 93003

Mailing address

1857 Knoll Drive
Centura, CA 93003
Phone (805) 667-8200

Sources for this page

Verify at the official NPI Registry.