Colleen Omara Griffin

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

58003405 Issued in NY

Practice address

3000 Schoolview Rd
Eden, NY 14057-1117

Phone

(716) 992-3638

NPI assigned

Oct 11, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1318291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1598040420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 SCHOOLVIEW RD",
            "city": "EDEN",
            "state": "NY",
            "postal_code": "140571117",
            "telephone_number": "716-992-3638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 SCHOOLVIEW RD",
            "city": "EDEN",
            "state": "NY",
            "postal_code": "140571117",
            "telephone_number": "716-992-3638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "COLLEEN",
        "middle_name": "OMARA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-11",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "58003405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eden Primary Care
• Edrnc Operating LLC
• Family Plus Primary Care,Rpa,PC
• Dana L. Fazzolari
• Mackenzie Hope Franklin, RN
• Kirsten L. Henderson, MS IN ED
• Glenn William Horrigan, DDS
• Joanne Ritz Keith, MS/OTR/L
• Benjamin Kerman, PH.D.
• Donna May Kozminski, LPN

• All providers in Eden, NY
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.