Active NPI
Christina Marie Carson, MS CCC-SLP, MA BCBA
- Speech-Language Pathologist
- Port Charlotte, FL
National Provider Identifier
1366636078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA8944
- Practice address
- 460 Dalton Blvd
Port Charlotte, FL 33952-8360 - Phone
- (321) 732-0368
- NPI assigned
- Sep 5, 2007
- Last updated
- Jul 16, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA8944 | FL | Primary |
| Behavior Analyst | 103K00000X |
Addresses
Primary practice location
460 Dalton Blvd
Port Charlotte, FL 33952-8360
Mailing address
150 Avenue B SE
Winter Haven, FL 33880-3037
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891244100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6870 Alister Way
Fort Myers, FL 33912-4535
Phone (239) 676-2080
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA8944 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope & Associates, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Love and Co Therapeutic Interventions,LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Hope & Associates, LLC | Behavior Analyst | Current | Accepting new patients |
| Love & Behavior Therapy LLC | Behavior Analyst | Past | Accepting new patients |
| Love and Co Therapeutic Interventions,LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Tampa, FL
- NPI 1407325467
-
- Speech-Language Pathologist
- Port Charlotte, FL
- NPI 1316744873
-
- Behavior Analyst
- Port Charlotte, FL
- NPI 1750189130
-
- Speech-Language Pathologist
- Lakeland, FL
- NPI 1669934691
-
- Behavior Analyst
- Winter Haven, FL
- NPI 1407585797
-
- Behavior Analyst
- Lakeland, FL
- NPI 1942007406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1366636078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 AVENUE B SE",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338803037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 DALTON BLVD",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339528360",
"telephone_number": "321-732-0368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARSON",
"first_name": "CHRISTINA",
"middle_name": "MARIE",
"credential": "MS CCC-SLP, MA BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-05",
"last_updated": "2024-07-16",
"certification_date": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA8944",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891244100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.