Coleen Elizabeth Stinson, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

004195 Issued in GA

Practice address

156 Peachtree East Suite 149
Peachtree City, GA 30269

Phone

(678) 481-6444

Fax

(678) 817-7652

NPI assigned

Apr 17, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447476759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 BRIARSWEET WAY",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302156209",
            "telephone_number": "678-817-6822",
            "fax_number": "678-817-7652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 PEACHTREE EAST SUITE 149",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "30269",
            "telephone_number": "678-481-6444",
            "fax_number": "678-817-7652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINSON",
        "first_name": "COLEEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "004195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000851045D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monte Montgomery Starkey, MD
• Stat Wellness Peachtree City
• Patrick Reilly Steck
• Theresa Denise Stembridge, APRN-NP-C
• Jason Stevens
• Jakiyah Stinson
• Erika Stoll, LPC
• Sarah Stone, FNP-C
• Keishla Suazo-Padilla
• Amber Samirah Sumbry-Haslett

• Speech-Language Pathologist in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.