Individual provider Active NPI

Christina Villiers, CCC-SLP

  • Speech-Language Pathologist
  • Panama City Beach, FL
National Provider Identifier
1689548992
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA24029 Issued in FL
Practice address
401 N Alf Coleman Rd
Panama City Beach, FL 32407-2567
Phone
(850) 749-5020
NPI assigned
Sep 30, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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 SA24029 FL Primary

Addresses

Primary practice location

401 N Alf Coleman Rd
Panama City Beach, FL 32407-2567

Mailing address

7150 W Highway 98 Unit 10206
Panama City Beach, FL 32407-4927

Other practice location 1

65 Origins Pkwy
Inlet Beach, FL 32461-8702
Phone (845) 568-7387

Other practice location 2

95 Grand Heron Dr
Panama City Beach, FL 32407-2553
Phone (845) 568-7387

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251121001105 FL Practitioner - Qualified Speech Language Pathologist 7810489424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

65 Origins Pkwy
Inlet Beach, FL 32461-8702
Phone (850) 752-1286

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SA24029FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpro Heritage Rehab & Fitness, LLC Speech-Language Pathologist CurrentSince Oct 17, 2025 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Speech-Language Pathologist CurrentSince Oct 17, 2025 Accepting new patients
Rehabcare Group East, LLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1759190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1689548992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7150 W HIGHWAY 98 UNIT 10206",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324074927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N ALF COLEMAN RD",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324072567",
            "telephone_number": "850-749-5020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 Origins Pkwy",
            "address_purpose": "LOCATION",
            "city": "Inlet Beach",
            "state": "FL",
            "postal_code": "324618702",
            "country_code": "US",
            "telephone_number": "845-568-7387",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "95 Grand Heron Dr",
            "address_purpose": "LOCATION",
            "city": "Panama City Beach",
            "state": "FL",
            "postal_code": "324072553",
            "country_code": "US",
            "telephone_number": "845-568-7387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLIERS",
        "first_name": "CHRISTINA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-30",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA24029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.