Active NPI
Brianna Coltellino
- Speech-Language Pathologist
- St Augustine, FL
National Provider Identifier
1871211375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SZ10838
- Practice address
- 56 Water St
St Augustine, FL 32084-2887 - Phone
- (727) 364-4024
- NPI assigned
- Aug 19, 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 | SZ10838 | FL | Primary |
Addresses
Primary practice location
56 Water St
St Augustine, FL 32084-2887
Mailing address
56 Water St
St Augustine, FL 32084-2887
Phone (727) 364-4024
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
195 Nellie Woods LN
Apt 102
Oviedo, FL 32765-4758
195 Nellie Woods LN Apt
Suite 102
Oviedo, FL 32765-4758
3280 Progress Dr
Suite 500
Orlando, FL 32826-2903
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SZ10838 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Talk of the Town Speech Therapy LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Talk of the Town Speech Therapy 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.
-
- Speech-Language Pathologist
- Orlando, FL
- NPI 1568497527
-
- Speech-Language Pathologist
- St Augustine, FL
- NPI 1689063216
-
- Early Intervention Provider Agency
- St Augustine, FL
- NPI 1649705419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660867200000",
"number": "1871211375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 WATER ST",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320842887",
"telephone_number": "727-364-4024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 WATER ST",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320842887",
"telephone_number": "727-364-4024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLTELLINO",
"first_name": "BRIANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-19",
"last_updated": "2022-08-19",
"certification_date": "2022-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ10838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
- Kayla Collins, OT
- Lacandace Collins, LMHC
- Ragan Collins, DC
- Marilu Colon, M.D.
- Nathalie J Colon
- Christina Combs, OTR/L
- Lisa Comella
- Comfortable Care Dental Health Professionals PA (St Augustine Family Dentistry)
- Comfortable Care Dental Health Professionals, P.a. (Moultrie Dental Care)
- Comfortable Care Dental Health Professionals, P.a. (Cherry Elm Dental Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.