Victoria Nicole Colburn, SLP-ASSISTANT

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

42435 Issued in TX

Practice address

12770 Coit Rd Ste 870
Dallas, TX 75251-1455

Phone

(702) 306-4156

NPI assigned

Apr 25, 2022

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oci Acquisition LLC

  • Home Health Agency
  • Dallas, TX
  • NPI 1326297441
  NPD

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1295479277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12770 COIT RD STE 870",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752511455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12770 COIT RD STE 870",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752511455",
            "telephone_number": "702-306-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBURN",
        "first_name": "VICTORIA",
        "middle_name": "NICOLE",
        "credential": "SLP-ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "42435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Franklin Colbert, M.D.
• Jewelene Colbert
• Kay Colbert, LCSW
• Tony Duvall Colbert, COA
• Blake Colburn, M.S., CCC-SLP
• James L Colclasure, LPC
• Amanda Coldren, CO
• Cheralaine E. Cole Johnson, PA-C
• Cole Wellness Center
• Constance Michelle Cole-Scott, LCSW

• Speech-Language Assistant in Dallas, TX
• Providers in Dallas, TX by specialty
• Speech-Language Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.