Active NPI
Constance Collins, SLP
- Speech-Language Pathologist
- Toledo, OH
National Provider Identifier
1083824049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP4412
- Practice address
- 3949 Sunforest CT
Suite 101
Toledo, OH 43623-4473 - Phone
- (419) 474-3399
- Fax
- (419) 474-5165
- NPI assigned
- May 22, 2007
- Last updated
- Nov 1, 2017
- 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 | SP4412 | OH | Primary |
Addresses
Primary practice location
3949 Sunforest CT
Suite 101
Toledo, OH 43623-4473
Mailing address
7223 Maumee Western Rd
Maumee, OH 43537-9755
Phone (419) 865-0251
Other names 1
- Connie Collins
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP4412 | OH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MWG, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509494400000",
"number": "1083824049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7223 MAUMEE WESTERN RD",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435379755",
"telephone_number": "419-865-0251",
"fax_number": "419-724-3353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3949 SUNFOREST CT",
"address_2": "SUITE 101",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436234473",
"telephone_number": "419-474-3399",
"fax_number": "419-474-5165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "CONSTANCE",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2017-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP4412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CONNIE",
"last_name": "COLLINS",
"credential": "SLP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.