Colligo Speech Language Pathology, PA

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

COLLIGO SPEECH LANGUAGE PATHOLOGY, PA

Practice address

8830 S Lake Dasha Dr
Plantation, FL 33324-3011

Phone

(305) 283-4800

NPI assigned

May 21, 2021

Organization subpart

No

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

Authorized official

Name

Kris-Ann Chin-AmbroseNPI 1891749453

Title

President

Phone

(305) 283-4800

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Kris-Ann Simone Chin-Ambrose, MS, CCC-SLP

  • Speech-Language Pathologist
  • Plantation, FL
  • NPI 1891749453

  Developmental Therapist

  NPD Authorized official

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642723200000",
    "number": "1164097184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8830 S LAKE DASHA DR",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243011",
            "telephone_number": "305-283-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8830 S LAKE DASHA DR",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243011",
            "telephone_number": "305-283-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLIGO SPEECH LANGUAGE PATHOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A",
        "authorized_official_last_name": "CHIN-AMBROSE",
        "authorized_official_first_name": "KRIS-ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-283-4800"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111133300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nina L Coletta, DPM
• Andrea Alexandra Coletti
• Peter Michael Coletti, DDS
• Evelyn Coley, PA-C
• Jessica Colindres, CRNA
• Jasmin Collins, LMHC
• Lydia Collins, PSYD
• Michael Dylan Collins, DO
• Simmon O Collum, LMT
• Colon and Rectal Clinic of Fort Lauderdale PA

• Speech-Language Pathologist in Plantation, FL
• Providers in Plantation, 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 21, 2022; 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.