Individual provider Active NPI

Christine Robinson, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Avon, CT
National Provider Identifier
1356522841
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
005511 Issued in CT
Practice address
30 Avon Meadow LN
Avon, CT 06001
Phone
(860) 284-9779
NPI assigned
Nov 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1013 NH
Speech-Language Pathologist 235Z00000X 005511 CT Primary

Addresses

Primary practice location

30 Avon Meadow LN
Avon, CT 06001

Mailing address

4 Echo LN
Simsbury, CT 06070-1953
Phone (603) 674-5838

Other practice location 1

282A Main St
Salem, NH 03079-2796
Phone (603) 893-8550

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

LicenseStateTypeSpecialty
005511CTMDClinical Social Worker
1013NHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Development, LLC Speech-Language Pathologist PastSince Aug 18, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1356522841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ECHO LN",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060701953",
            "telephone_number": "603-674-5838",
            "fax_number": "603-893-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 AVON MEADOW LN",
            "city": "AVON",
            "state": "CT",
            "postal_code": "06001",
            "telephone_number": "860-284-9779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "282A Main St",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "NH",
            "postal_code": "030792796",
            "country_code": "US",
            "telephone_number": "603-893-8550",
            "fax_number": "603-893-8680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-26",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NH",
            "license": "1013",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "005511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.