Individual provider Active NPI

Cristina Melisa Costas, SLP

  • Speech-Language Pathologist
  • Fort Lauderdale, FL
National Provider Identifier
1396170163
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA23469 Issued in FL
Practice address
319 SW 20TH St
Fort Lauderdale, FL 33315-2103
Phone
(954) 338-5944
NPI assigned
Sep 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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 SA23469 FL Primary

Addresses

Primary practice location

319 SW 20TH St
Fort Lauderdale, FL 33315-2103

Mailing address

7901 4TH St N Ste 300
St Petersburg, FL 33702-4399
Phone (954) 338-5944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150415001571 FL Practitioner - Qualified Speech Language Pathologist 8325366735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2699 Stirling Rd
Suite C306E
Fort Lauderdale, FL 33312-6564
Phone (954) 338-5944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SA23469FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing, Speech & Language Therapy LLC Speech-Language Pathologist CurrentSince Aug 6, 2025 Accepting new patients
University of Miami Past Accepting new patients

Locations

2699 Stirling Rd
Ste C306E
Fort Lauderdale, FL 33312
Phone (305) 776-2457

7901 4th St N
Ste 300
St Petersburg, FL 33702
Phone (305) 204-3616

Interoperability endpoints

  • Direct secure messaging: ccostas39043@direct.med.miami.edu

Organizations & group practices 2

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": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1396170163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 300",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024399",
            "telephone_number": "954-338-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 SW 20TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333152103",
            "telephone_number": "954-338-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTAS",
        "first_name": "CRISTINA",
        "middle_name": "MELISA",
        "name_prefix": "Ms.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-11",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA23469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.

Verify at the official NPI Registry.