Brenda Ivelisse Colon Colon, MS SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA16118 Issued in FL

Practice address

7875 NW 11TH St
Plantation, FL 33322-5155

Phone

(787) 358-3790

NPI assigned

Dec 18, 2014

Last updated

Sep 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• BCC Therapy Group Inc

  • Clinic/Center
  • Plantation, FL
  • NPI 1750997755
  NPD Authorized official
• BCC Therapy Group Inc

  • Clinic/Center
  • Kindred, FL
  • NPI 1881369056
  NPD Authorized official
• Systems & Structure Rehab Center Inc

  dba Blessed Pediatric Care

  • Medically Fragile Infants and Children Day Care
  • Miami Lakes, FL
  • NPI 1851827810
  NPD (past)
• Systems & Structure Rehab Center Inc.

  dba Blessed Pediatric Care

  • Clinic/Center
  • Miami Lakes, FL
  • NPI 1629099734
  NPD (past)

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

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1457759730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7875 NW 11TH ST",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333225155",
            "telephone_number": "787-358-3790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7875 NW 11TH ST",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333225155",
            "telephone_number": "787-358-3790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Calle Valeria",
            "address_2": "Camino de la Princesa",
            "address_purpose": "LOCATION",
            "city": "Guayama",
            "state": "PR",
            "postal_code": "007847611",
            "country_code": "US",
            "telephone_number": "787-316-3139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4715 NW 157th St Ste 111-119",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330146435",
            "country_code": "US",
            "telephone_number": "305-342-2481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLON COLON",
        "first_name": "BRENDA",
        "middle_name": "IVELISSE",
        "credential": "MS SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-18",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA16118",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "3000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmin Collins, LMHC
• Lydia Collins, PSYD
• Michael Dylan Collins, DO
• Simmon O Collum, LMT
• Colon and Rectal Clinic of Fort Lauderdale PA
• Frances Michelle Colon
• Melissa Taylor Colon, COTA/L
• Columbia Hospital Corporation of South Broward (HCA Florida Plantation ER, a part of HCA Florida Westside Hospital)
• Columbia Hospital Corporation of South Broward (HCA Florida Westside Hospital)
• Columbia Medical Idtf LLC

• Speech-Language Pathologist in Plantation, FL
• Providers in Plantation, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.