Collaborative Function

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA 2744 Issued in FL

Legal business name

COLLABORATIVE FUNCTION

Practice address

726 W Colonial Dr
Orlando, FL 32804-7344

Phone

(407) 540-1937

Fax

(407) 540-1938

NPI assigned

Jul 15, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Amie Hanna Tishkoff, M.A.CCC-SLPNPI 1689789844

Title

Pres/VP/Sec. & Speech-Language Path

Phone

(407) 540-1937

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amie Hanna Tishkoff, M.A.,CCC-SLP

  • Speech-Language Pathologist
  • Orlando, FL
  • NPI 1689789844
  NPD (past) Authorized official
• Annmarie Moyssiadis, OTR/L

  • Occupational Therapist
  • Orlando, FL
  • NPI 1558476747
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221782400000",
    "number": "1114943594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 W COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328047344",
            "telephone_number": "407-540-1937",
            "fax_number": "407-540-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 W COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328047344",
            "telephone_number": "407-540-1937",
            "fax_number": "407-540-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE FUNCTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2008-09-19",
        "status": "A",
        "authorized_official_last_name": "TISHKOFF",
        "authorized_official_first_name": "AMIE",
        "authorized_official_middle_name": "HANNA",
        "authorized_official_title_or_position": "PRES/VP/SEC. & SPEECH-LANGUAGE PATH",
        "authorized_official_telephone_number": "407-540-1937",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A.CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 5270",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 2744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "885998100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trivia Coley, DPT, CLT
• Liza M Colimon, MD
• Cynthia Tabisha Colin, DO
• Yadira Colina Almaguer
• Eleana Coll, LCSW 87111
• Collaborative Solutions by Dr. Nikki Keefer & Assoc., Inc.
• Collaborative Solutions by Dr. Nikki Keefer & Associates, Inc
• Kristina Michelle Collado-Fernandez
• Adriana Maria Collado, LMHC
• Stephanie Marie Collado, PA-C

• Speech-Language Pathologist in Orlando, FL
• Providers in Orlando, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; 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.