Active NPI
Krista Hodges, M.A. CCC-SLP
- Speech-Language Pathologist
- Tampa, FL
National Provider Identifier
1629445523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA15194
- Practice address
- 4809 Ehrlich Rd Ste 104
Tampa, FL 33624-2073 - Phone
- (813) 374-0442
- NPI assigned
- Aug 26, 2015
- 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 | SZ7232 | FL | |
| Speech-Language Pathologist | 235Z00000X | SA15194 | FL | Primary |
Addresses
Primary practice location
4809 Ehrlich Rd Ste 104
Tampa, FL 33624-2073
Mailing address
5354 Goldenwood Dr
Orlando, FL 32817-3294
Phone (321) 863-1667
Other names 1
- Krista Hamilton
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA15194 | FL | MD | Speech-Language Pathologist |
| SZ7232 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624320000000",
"number": "1629445523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5354 GOLDENWOOD DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328173294",
"telephone_number": "321-863-1667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4809 EHRLICH RD STE 104",
"city": "TAMPA",
"state": "FL",
"postal_code": "336242073",
"telephone_number": "813-374-0442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGES",
"first_name": "KRISTA",
"credential": "M.A. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-26",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ7232",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA15194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTA",
"last_name": "HAMILTON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.