Individual provider Active NPI

Margaret Sue Ninneman, CCC-SLP

  • Speech-Language Pathologist
  • Colton, CA
National Provider Identifier
1295721298
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP5108 Issued in CA
Practice address
1350 Reche Canyon Rd
Colton, CA 92324-9528
Phone
(909) 370-4411
NPI assigned
Sep 25, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP5108 CA Primary

Addresses

Primary practice location

1350 Reche Canyon Rd
Colton, CA 92324-9528

Mailing address

4744 Windsor Rd
Riverside, CA 92507-5895
Phone (951) 680-0821

Other names 1

  • Ms. Peggy Sue Ninneman Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SP5108CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1127606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1295721298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4744 WINDSOR RD",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925075895",
            "telephone_number": "951-680-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 RECHE CANYON RD",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923249528",
            "telephone_number": "909-370-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NINNEMAN",
        "first_name": "MARGARET",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP5108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PEGGY",
            "last_name": "NINNEMAN",
            "middle_name": "SUE",
            "prefix": "MS.",
            "credential": "CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Colton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.