Active NPI
Tonya Lorene Carson, MS, CCC-SLP
- Speech-Language Pathologist
- Winter Garden, FL
National Provider Identifier
1679619563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA6961
- Practice address
- 886 South Dillard St.
Winter Garden, FL 34787-3910 - Phone
- (407) 905-8958
- Fax
- (407) 905-8958
- NPI assigned
- Jan 29, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA6961 | FL | Primary |
Addresses
Primary practice location
886 South Dillard St.
Winter Garden, FL 34787-3910
Mailing address
12812 Keddlestone Lane
Winter Garden, FL 34787
Phone (407) 491-3825
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8883866 | Medicaid | FL |
Other names 1
- Tonya Carson Patrick
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 |
|---|---|---|---|
| SA6961 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tonya L. Carson, Inc. | Speech-Language Pathologist | Current | Accepting new patients |
| Pediatric Therapy Services of Greater Orlando, LLC | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Winter Garden, FL
- NPI 1043040264
-
- Occupational Therapist
- Winter Garden, FL
- NPI 1013926187
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464307200000",
"number": "1679619563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12812 KEDDLESTONE LANE",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "34787",
"telephone_number": "407-491-3825",
"fax_number": "407-905-8958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "886 SOUTH DILLARD ST.",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347873910",
"telephone_number": "407-905-8958",
"fax_number": "407-905-8958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARSON",
"first_name": "TONYA",
"middle_name": "LORENE",
"name_prefix": "Mrs.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2016-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA6961",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8883866",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TONYA",
"last_name": "PATRICK",
"middle_name": "CARSON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Winter Garden, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.