Active NPI
Krista Giles, SLPA
- Speech-Language Pathologist
- Palm Coast, FL
National Provider Identifier
1851040166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SZ10744
- Practice address
- 4875 Palm Coast Pkwy NW Unit 2
Palm Coast, FL 32137-3671 - Phone
- (386) 446-9935
- Fax
- (386) 446-7777
- NPI assigned
- Mar 22, 2022
- 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 | SZ10744 | FL | Primary |
Addresses
Primary practice location
4875 Palm Coast Pkwy NW Unit 2
Palm Coast, FL 32137-3671
Mailing address
800 Shady Oaks Dr Apt 206
Palm Coast, FL 32164-2585
Phone (386) 986-6938
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SI5231 | Other | FL | FL STATE LICENSE |
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 |
|---|---|---|---|
| SZ10744 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657843200000",
"number": "1851040166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 SHADY OAKS DR APT 206",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321642585",
"telephone_number": "386-986-6938",
"fax_number": "386-446-7777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4875 PALM COAST PKWY NW UNIT 2",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321373671",
"telephone_number": "386-446-9935",
"fax_number": "386-446-7777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILES",
"first_name": "KRISTA",
"credential": "SLPA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-22",
"last_updated": "2022-07-15",
"certification_date": "2022-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ10744",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL STATE LICENSE",
"identifier": "SI5231",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Coast, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.