Kris-Ann Simone Chin-Ambrose, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA5899 Issued in FL

Practice address

8830 S Lake Dasha Dr
Plantation, FL 33324-3011

Phone

(305) 283-4800

NPI assigned

May 19, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Mrs. Kris-Ann Simone Chin Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Colligo Speech Language Pathology, PA

  • Speech-Language Pathologist
  • Plantation, FL
  • NPI 1164097184

  Developmental Therapist

  NPD Authorized official

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1891749453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8830 S LAKE DASHA DR",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243011",
            "telephone_number": "305-283-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8830 S LAKE DASHA DR",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243011",
            "telephone_number": "305-283-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIN-AMBROSE",
        "first_name": "KRIS-ANN",
        "middle_name": "SIMONE",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA5899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "887282100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "SA5899",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA CERTIFICATION",
            "identifier": "12031814",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRIS-ANN",
            "last_name": "CHIN",
            "middle_name": "SIMONE",
            "prefix": "MRS.",
            "credential": "MS, CCC-SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Child and Family Psychology LLC
• Childnet, Inc.
• Children Are Limitless ABA Therapy LLC
• Childrens Medical Association PA
• Childrens Speech Therapy Center
• Chih Chin, PHARMD
• Janet Chin
• Paquita Chinga
• Juan Armando Ant Chiossone Kerdel, MD
• Nimuet Chirino, RBT

• Speech-Language Pathologist in Plantation, FL
• Providers in Plantation, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.

Verify at the official NPI Registry.