Krista Lee Garbellano-Vergine, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL012724 Issued in PA

Practice address

551 E Station Ave
Coopersburg, PA 18036-2027

Phone

(484) 865-9220

Fax

(484) 353-5157

NPI assigned

Aug 10, 2008

Last updated

Apr 5, 2017By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lehigh Valley Hospital

  dba Lehigh Valley Health Network Rehabilitation Services

  • Physical Therapist
  • Bethlehem, PA
  • NPI 1356769616
  NPD
• Lehigh Valley Hospital

  • Psychiatric Hospital Unit
  • Bethlehem, PA
  • NPI 1609834001
  NPD

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

{
    "created_epoch": "1218326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1083860001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 E STATION AVE",
            "city": "COOPERSBURG",
            "state": "PA",
            "postal_code": "180362027",
            "telephone_number": "484-865-9220",
            "fax_number": "484-353-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 E STATION AVE",
            "city": "COOPERSBURG",
            "state": "PA",
            "postal_code": "180362027",
            "telephone_number": "484-865-9220",
            "fax_number": "484-353-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARBELLANO-VERGINE",
        "first_name": "KRISTA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-10",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL012724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Renee Evans, LCSW
• Ryan Fowler
• Lori Beth Frack, RDH
• Mark Frawley, D.C.
• Ganesh RX Inc (Coopersburg Community Pharmacy)
• Gettins, Inc
• Gail Petcavage Gibbs, LCSW
• Shalu Gupta, PHARMD, BCOP
• Nicole Harada, COTA
• Janile Harris, PHARM D.

• Speech-Language Pathologist in Coopersburg, PA
• Providers in Coopersburg, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.

Verify at the official NPI Registry.