Active NPI
Kristina Elizabeth Cota, MSP,CCC-SLP
- Speech-Language Pathologist
- Aiken, SC
National Provider Identifier
1760626485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1528
- Practice address
- 4011 Woodvalley Dr
Aiken, SC 29803 - Phone
- (803) 642-5039
- NPI assigned
- Apr 24, 2009
- 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 | 1528 | SC | Primary |
Addresses
Primary practice location
4011 Woodvalley Dr
Aiken, SC 29803
Mailing address
804 Legare Rd SW
Aiken, SC 29803
Phone (803) 643-0605
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1528 | SC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240531200000",
"number": "1760626485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 LEGARE RD SW",
"city": "AIKEN",
"state": "SC",
"postal_code": "29803",
"telephone_number": "803-643-0605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4011 WOODVALLEY DR",
"city": "AIKEN",
"state": "SC",
"postal_code": "29803",
"telephone_number": "803-642-5039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTA",
"first_name": "KRISTINA",
"middle_name": "ELIZABETH",
"credential": "MSP,CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-24",
"last_updated": "2009-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "1528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aiken, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.