Active NPI
Kristina Marie Colgan, MS CCC-SLP
- Speech-Language Pathologist
- Lenexa, KS
National Provider Identifier
1306146725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2004019689
- Practice address
- 9931 Fountain Cir
Lenexa, KS 66220-2694 - Phone
- (913) 322-9085
- NPI assigned
- Nov 1, 2010
- Last updated
- Nov 1, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2811 | KS | |
| Speech-Language Pathologist | 235Z00000X | 2004019689 | MO | Primary |
Addresses
Primary practice location
9931 Fountain Cir
Lenexa, KS 66220-2694
Mailing address
9931 Fountain Cir
Lenexa, KS 66220-2694
Phone (913) 322-9085
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2811 | KS | MD | Marriage & Family Therapist |
| 2004019689 | MO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288569600000",
"number": "1306146725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9931 FOUNTAIN CIR",
"city": "LENEXA",
"state": "KS",
"postal_code": "662202694",
"telephone_number": "913-322-9085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9931 FOUNTAIN CIR",
"city": "LENEXA",
"state": "KS",
"postal_code": "662202694",
"telephone_number": "913-322-9085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLGAN",
"first_name": "KRISTINA",
"middle_name": "MARIE",
"credential": "MS CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-01",
"last_updated": "2010-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KS",
"license": "2811",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2004019689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lenexa, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.