Colleen Gorecki, MA CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA10171 Issued in FL

Practice address

910 New York Ave
Dunedin, FL 34698-6600

Phone

(734) 516-8249

NPI assigned

Jan 14, 2019

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 Arts

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1144794033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 HARBOR OAKS CIR",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346952819",
            "telephone_number": "734-252-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 NEW YORK AVE",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346986600",
            "telephone_number": "734-516-8249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORECKI",
        "first_name": "COLLEEN",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-14",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA10171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Lynn Golightly, CRNP
• Raciel Gomez Golpe
• Adana Gonzalez
• Joan Marie Gonzalez, DMD
• Jared Max Gopman, M.D.
• Bethany A. Goss
• Gowell
• Sara Gayle Graff, LCSW
• Benjamin Holloway Graham, MD
• Jaclyn Marie Gramazio

• Speech-Language Pathologist in Dunedin, FL
• Providers in Dunedin, 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 Jan 14, 2019; 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.