Individual provider Active NPI

Christina Colonna

  • Speech-Language Pathologist
  • Palm Beach Gardens, FL
National Provider Identifier
1447703665
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA20292 Issued in FL
Practice address
600 Sandtree Dr Ste 210C
Palm Beach Gardens, FL 33403-1538
Phone
(917) 864-0119
NPI assigned
Jul 25, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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 026682 NY
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SA20292 FL Primary

Addresses

Primary practice location

600 Sandtree Dr Ste 210C
Palm Beach Gardens, FL 33403-1538

Mailing address

4200 N Ocean Dr Apt 2-105
Riviera Beach, FL 33404-2831
Phone (917) 864-0119

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

State licenses

LicenseStateTypeSpecialty
SA20292FLMDSpeech-Language Pathologist
026682NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Special Kids Speech, LLC Single Specialty CurrentSince Oct 8, 2023 Accepting new patients

Locations

600 Sandtree Dr
Ste 210C
Palm Beach Gardens, FL 33403
Phone (917) 864-0119

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": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1447703665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 N OCEAN DR APT 2-105",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334042831",
            "telephone_number": "917-864-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SANDTREE DR STE 210C",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334031538",
            "telephone_number": "917-864-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLONNA",
        "first_name": "CHRISTINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-25",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "026682",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA20292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.