Active NPI
Colleen Spieker, MS, CCC-SLP
- Speech-Language Pathologist
- Media, PA
National Provider Identifier
1295038537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL012293
- Practice address
- 1023 E Baltimore Pike Ste 203
Media, PA 19063-5126 - Phone
- (570) 242-2830
- NPI assigned
- Dec 8, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | |||
| Speech-Language Pathologist | 235Z00000X | O1-0001443 | DE | |
| Speech-Language Pathologist | 235Z00000X | SL012293 | PA | Primary |
Addresses
Primary practice location
1023 E Baltimore Pike Ste 203
Media, PA 19063-5126
Mailing address
5 E Ridge Rd
Media, PA 19063-2540
Phone (570) 242-2830
Other practice location 1
1401 S Federal Hwy
Ft Lauderdale, FL 33316-2619
Phone (954) 728-1083
Other practice location 2
4250 Lancaster Pike
Wilmington, DE 19805-1520
Phone (302) 658-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O1-0001443 | DE | MD | Speech-Language Pathologist |
| SL012293 | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670371200000",
"number": "1295038537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 E RIDGE RD",
"city": "MEDIA",
"state": "PA",
"postal_code": "190632540",
"telephone_number": "570-242-2830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1023 E BALTIMORE PIKE STE 203",
"city": "MEDIA",
"state": "PA",
"postal_code": "190635126",
"telephone_number": "570-242-2830"
}
],
"practiceLocations": [
{
"address_1": "1401 S Federal Hwy",
"address_purpose": "LOCATION",
"city": "Ft Lauderdale",
"state": "FL",
"postal_code": "333162619",
"country_code": "US",
"telephone_number": "954-728-1083",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4250 Lancaster Pike",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "DE",
"postal_code": "198051520",
"country_code": "US",
"telephone_number": "302-658-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPIEKER",
"first_name": "COLLEEN",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-08",
"last_updated": "2022-12-07",
"certification_date": "2022-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "DE",
"license": "O1-0001443",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL012293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.