Krista Koscik, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA13686 Issued in FL

Practice address

3405 Blue Quill LN
Tallahassee, FL 32312-5012

Phone

(352) 857-6125

NPI assigned

Feb 7, 2015

Last updated

Jul 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1423267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1285025692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 VILLAGE SQUARE BLVD # 3-82212",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323121250",
            "telephone_number": "352-857-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 BLUE QUILL LN",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323125012",
            "telephone_number": "352-857-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSCIK",
        "first_name": "KRISTA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-07",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "117669",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "30858",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA13686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION",
            "identifier": "14054738",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruth Chinedum Korie, MSW
• Kristin J Korinko, LMHC/BCBA
• Kenneth Allen Korn, ARNP
• Ashley Koroshec, LCSW
• Cindy Korte, MD
• Michelle Noel Kostic, DNP
• Srikant Reddy Kothur, MS, LMHC
• Edward A Kotz Jr., D.D.S.
• Ablavi Akpene Kouta
• Sydney Nicole Kovacs

• Speech-Language Pathologist in Tallahassee, FL
• Providers in Tallahassee, 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 Jul 29, 2024; 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.