Victoria Joann Concha, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

00759 Issued in IA

Practice address

2350 Oakdale Blvd
Coralville, IA 52241-9702

Phone

(319) 351-5437

Fax

(319) 351-5432

NPI assigned

May 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Victoria Joann Gillis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Childserve Therapy, Inc.

  • Physical Therapist
  • Johnston, IA
  • NPI 1679614754

  Speech-Language Pathologist

  NPD (past)
• The Childserve Clinic Inc

  • Pediatrics Physician
  • Johnston, IA
  • NPI 1033449145
  NPD (past)

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1104870005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5406 MERLE HAY RD",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501311209",
            "telephone_number": "515-727-8750",
            "fax_number": "515-727-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 OAKDALE BLVD",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522419702",
            "telephone_number": "319-351-5437",
            "fax_number": "319-351-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONCHA",
        "first_name": "VICTORIA",
        "middle_name": "JOANN",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "00759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "GILLIS",
            "middle_name": "JOANN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexandra Jane Collins, FNP-C
• Amy Carroll Collins, PHD
• Compass Psychology, Inc.
• Complete Vision Care
• Delfino M Concha, AU.D.
• Stephen C Conrad, LSCSW
• Cynthia Jean Converse, DDS
• Catherine A Conway, LCPC
• Mattison Cook
• Stephanie E Cooper, DDS

• Speech-Language Pathologist in Coralville, IA
• Providers in Coralville, IA by specialty
• Speech-Language Pathologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.