Individual provider Active NPI

Katerina Marion Colleran, SLP

  • Speech-Language Pathologist
  • Gallatin, TN
National Provider Identifier
1609347053
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6206 Issued in TN
Practice address
695 E Main St
Gallatin, TN 37066-2472
Phone
(423) 622-1551
Fax
(877) 856-7133
NPI assigned
Dec 11, 2018
Last updated
Oct 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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 6206 TN Primary

Addresses

Primary practice location

695 E Main St
Gallatin, TN 37066-2472

Mailing address

PO Box 8114
Chattanooga, TN 37414-0114
Phone (423) 622-1551

Other names 1

  • Katerina Marion Gugliotta Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250523002415 MI Practitioner - Qualified Speech Language Pathologist 9335668102 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6206TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dearborn Speech and Sensory Center, Inc Speech-Language Pathologist CurrentSince Mar 20, 2025 Accepting new patients

Locations

44670 Ann Arbor Rd W
Ste 130
Plymouth, MI 48170
Phone (424) 295-8088

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1609347053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8114",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374140114",
            "telephone_number": "423-622-1551",
            "fax_number": "877-856-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 E MAIN ST",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370662472",
            "telephone_number": "423-622-1551",
            "fax_number": "877-856-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLERAN",
        "first_name": "KATERINA",
        "middle_name": "MARION",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-11",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "6206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATERINA",
            "last_name": "GUGLIOTTA",
            "middle_name": "MARION",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gallatin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.