Individual provider Active NPI

Carole Jennifer Collins, L-SLP/CCC

  • Speech-Language Pathologist
  • Batavia, NY
National Provider Identifier
1578849014
Registry record updated Oct 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
008136-1 Issued in NY
Practice address
8061 E Bennett HTS
Batavia, NY 14020-1070
Phone
(585) 345-0240
NPI assigned
Oct 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2011

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 008136-1 NY Primary

Addresses

Primary practice location

8061 E Bennett HTS
Batavia, NY 14020-1070

Mailing address

8061 E Bennett HTS
Batavia, NY 14020-1070
Phone (585) 345-0240

Other names 1

  • Ms. Carole Jennifer Deni Former name

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
008136-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1319760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319760000000",
    "number": "1578849014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8061 E BENNETT HTS",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140201070",
            "telephone_number": "585-345-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8061 E BENNETT HTS",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140201070",
            "telephone_number": "585-345-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "CAROLE",
        "middle_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "L-SLP/CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-28",
        "last_updated": "2011-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "008136-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLE",
            "last_name": "DENI",
            "middle_name": "JENNIFER",
            "prefix": "MS.",
            "credential": "L-SLP/CCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Batavia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; 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.