Laci Coleman, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA 13361 Issued in FL

Practice address

777 Lighthouse Dr
Tarpon Springs, FL 34689-1800

Phone

(817) 565-7005

NPI assigned

Nov 11, 2014

Last updated

Nov 11, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1415664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415664000000",
    "number": "1265838791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 LIGHTHOUSE DR",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346891800",
            "telephone_number": "817-565-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 LIGHTHOUSE DR",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346891800",
            "telephone_number": "817-565-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "LACI",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-11",
        "last_updated": "2014-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 13361",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "108361",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Orthopedic Advantage LLC
• Daniela Cobb
• Benjamin N. Cohen, PH.D.
• Alexandria Coleman, LMHC
• Arisha Marie Coleman
• Comfort Cure Inc.
• Community Health Center of Pinellas Inc
• Community Health Center of Pinellas Inc (Community Health Center at Tarpon Springs)
• Community Health Center of Pinellas Inc (Evara Health)
• Gloria D Constantas, M.A.

• Speech-Language Pathologist in Tarpon Springs, FL
• Providers in Tarpon Springs, 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 Nov 11, 2014; 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.