Colleen Patricia Smith, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

026351 Issued in NY

Practice address

5275 State Route 31
Verona, NY 13478

Phone

(315) 829-2529

Fax

(315) 829-5966

NPI assigned

Dec 19, 2016

Last updated

Aug 31, 2021By the provider in NPPES

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

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1386189835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5275 STATE ROUTE 31",
            "city": "VERONA",
            "state": "NY",
            "postal_code": "134782913",
            "telephone_number": "315-829-2529",
            "fax_number": "315-829-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5275 STATE ROUTE 31",
            "city": "VERONA",
            "state": "NY",
            "postal_code": "13478",
            "telephone_number": "315-829-2529",
            "fax_number": "315-829-5966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Armory Dr",
            "address_purpose": "LOCATION",
            "city": "Utica",
            "state": "NY",
            "postal_code": "135015405",
            "country_code": "US",
            "telephone_number": "313-798-4040 x301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "COLLEEN",
        "middle_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-19",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "026351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Rossi, OTR/L
• Arkadiusz Grzegorz Sereda, PT
• Cheryl Ann Sexton, PHYSICAL THERAPIST A
• Genevieve Nadine Sgarlata, LMT
• Courtney Sicilia
• Anthony Thomas, PT, DPT
• Michele Mary Vanderhoof, LPN
• Vernon Verona Sherrill Central School
• Verona Family Practice
• Patty A Wallis, LPN

• Speech-Language Pathologist in Verona, NY
• Providers in Verona, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.