Individual provider Active NPI

Yassel Feliciano Colon, M.A. SLP-CF

  • Speech-Language Pathologist
  • Winter Garden, FL
National Provider Identifier
1104429158
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ11698 Issued in FL
Practice address
1201 Winter Garden Vineland Rd Ste 10
Winter Garden, FL 34787-4380
Phone
(407) 654-5455
Fax
(407) 654-5829
NPI assigned
Nov 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SZ11698 FL Primary

Addresses

Primary practice location

1201 Winter Garden Vineland Rd Ste 10
Winter Garden, FL 34787-4380

Mailing address

300 International Pkwy Ste 200
Lake Mary, FL 32746-3625
Phone (866) 610-0580

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 Arts

State licenses

LicenseStateTypeSpecialty
SZ11698FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
United Cerebral Palsy of Central Florida, Inc. Past Accepting new patients
United Cerebral Palsy of Central Florida, Inc. Past Accepting new patients
Speech and Occupational Specialists, LLC Speech-Language Pathologist Past Accepting new patients
United Cerebral Palsy of Central Florida, Inc. Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1104429158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 INTERNATIONAL PKWY STE 200",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463625",
            "telephone_number": "866-610-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 WINTER GARDEN VINELAND RD STE 10",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874380",
            "telephone_number": "407-654-5455",
            "fax_number": "407-654-5829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICIANO COLON",
        "first_name": "YASSEL",
        "credential": "M.A. SLP-CF",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-20",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ11698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.