Active NPI
Kristin Nicole Corron, MS,SLP
- Speech-Language Pathologist
- Winter Garden, FL
National Provider Identifier
1508139486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA12264
- Practice address
- 886 S Dillard St
Winter Garden, FL 34787-3910 - Phone
- (407) 905-8908
- Fax
- (407) 905-8958
- NPI assigned
- Feb 22, 2012
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SZ5732 | FL | |
| Speech-Language Pathologist | 235Z00000X | SA12264 | FL | Primary |
Addresses
Primary practice location
886 S Dillard St
Winter Garden, FL 34787-3910
Mailing address
940 Douglas Ave Unit 135
Altamonte Springs, FL 32714-2096
Phone (321) 439-5888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004705300 | Medicaid | FL |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA12264 | FL | MD | Speech-Language Pathologist |
| SZ5732 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Therapy Services of Greater Orlando, LLC | Speech-Language Pathologist | Past | Accepting new patients |
| Kids Connection Therapy LLC | Speech-Language Pathologist | Past | Accepting new patients |
| Speech Innovations of Central Florida LLC | Single Specialty | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Speech-Language Pathologist
- Longwood, FL
- NPI 1114691904
-
- Occupational Therapist
- Winter Garden, FL
- NPI 1013926187
Speech-Language Pathologist
-
- Speech-Language Pathologist
- Melbourne, FL
- NPI 1982268173
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1508139486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 DOUGLAS AVE UNIT 135",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327142096",
"telephone_number": "321-439-5888",
"fax_number": "407-905-8958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "886 S DILLARD ST",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347873910",
"telephone_number": "407-905-8908",
"fax_number": "407-905-8958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORRON",
"first_name": "KRISTIN",
"middle_name": "NICOLE",
"credential": "MS,SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-22",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ5732",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA12264",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004705300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winter Garden, FL
- Heidi Cooke, OTR
- Emily Elizabeth Coppola
- Cora Health Services, Inc (CORA Physical Therapy-Stoneybrook)
- Robin Christie Corbin, L.M.T.
- Eduilmer Coronado
- Fabiola S Cortes
- Sonia Marily Cortes
- Counseling & Psychological Services of Central Florida, LLC
- Counseling Resource Services, Inc.
- Tonya Michelle Cowan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.