Active NPI
Christina Lynn Haislip, M.S., CCC-SLP
- Speech-Language Pathologist
- St Augustine, FL
National Provider Identifier
1669510103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA2577
- Practice address
- 717 E American Eagle Dr
St Augustine, FL 32092-5077 - Phone
- (904) 230-1700
- Fax
- (904) 230-1700
- NPI assigned
- Feb 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA2577 | FL | Primary |
Addresses
Primary practice location
717 E American Eagle Dr
St Augustine, FL 32092-5077
Mailing address
2220 County Road 210 W
Suite 108 Box #235
Jacksonville, FL 32259-4058
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 |
|---|---|---|---|
| SA2577 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669510103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2220 COUNTY ROAD 210 W",
"address_2": "SUITE 108 BOX #235",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322594058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 E AMERICAN EAGLE DR",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320925077",
"telephone_number": "904-230-1700",
"fax_number": "904-230-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAISLIP",
"first_name": "CHRISTINA",
"middle_name": "LYNN",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA2577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.