Active NPI
Connie Christensen, MS CCC SLP
- Speech-Language Pathologist
- Merritt Island, FL
National Provider Identifier
1063783231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 6366
- Practice address
- 125 Alma Blvd
Merritt Island, FL 32953-4345 - Phone
- (321) 454-2442
- NPI assigned
- Jan 19, 2012
- Last updated
- Jan 19, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA 6366 | FL | Primary |
Addresses
Primary practice location
125 Alma Blvd
Merritt Island, FL 32953-4345
Mailing address
975 Pelican LN
Rockledge, FL 32955-4478
Phone (321) 639-8009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA 6366 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326931200000",
"number": "1063783231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "975 PELICAN LN",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329554478",
"telephone_number": "321-639-8009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 ALMA BLVD",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329534345",
"telephone_number": "321-454-2442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTENSEN",
"first_name": "CONNIE",
"credential": "MS CCC SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-19",
"last_updated": "2012-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 6366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merritt Island, FL
- Munyaradzi Warren Chinyanganya
- Chiropractic Health Clinic of Brevard PA
- Choices Behavioral Health LLC (Choices Behavioral Health)
- Bindi Gautam Chokshi, MD
- Kelly Chong, DDS
- Christopher Management, Inc. (Tropical Living Club 2)
- Lauren Cimino, RMHCI
- Katie Jean Cipriano
- Elsa Marie Clark, MPT
- Colton C Clary, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.