Alexandra Kolioradakis, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA10582 Issued in FL

Practice address

5023 Flora Ave
Holiday, FL 34690-6616

Phone

(727) 505-8132

NPI assigned

Jul 24, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Speech Therapy Center PLLC

  • Speech-Language Pathologist
  • Holiday, FL
  • NPI 1235704560
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1003291592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 ROSEWATER DR",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346915109",
            "telephone_number": "727-505-8132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5023 FLORA AVE",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346906616",
            "telephone_number": "727-505-8132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1825 S Pinellas Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Tarpon Springs",
            "state": "FL",
            "postal_code": "346891948",
            "country_code": "US",
            "telephone_number": "727-940-3114",
            "fax_number": "727-940-4107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLIORADAKIS",
        "first_name": "ALEXANDRA",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-24",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA10582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathy R. Kessenich, ARNP
• Anuja Khadka, LCSW
• Robert Bruce Killeen Jr., MD
• Roberta Marie Killeen, MD
• Midori Kimura, LCSW
• Vicki Kunkel
• Aleesa Lafleur
• Anthony Lane, PHARMACIST
• Gilma Larrota Reyes, RN
• Lazenby & Heath MD'S PA

• Speech-Language Pathologist in Holiday, FL
• Providers in Holiday, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.