Colleen Gargan, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

030672 Issued in NY

Practice address

621 Skytop Rd Ste 1200
Syracuse, NY 13244-4416

Phone

(315) 443-9618

NPI assigned

Jul 20, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Syracuse University

  • Audiologist
  • Syracuse, NY
  • NPI 1558339473
  Medicare reassignment NPD
• Syracuse University

  • Student Health Clinic/Center
  • Syracuse, NY
  • NPI 1447338819
  NPD

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1932772787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 SKYTOP RD STE 1200",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132444416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 SKYTOP RD STE 1200",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132444416",
            "telephone_number": "315-443-9618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARGAN",
        "first_name": "COLLEEN",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "030672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Ann Gardner, LPN
• Jenna Marie Gardner, M.S CCC-SLP/L
• Tania Nadine Gardner, PT, DPT
• Hanish Garg
• Ishanee Garg, MD
• Meghana Garisa
• Linda Darlene Garn
• Ardena Garner, LMSW
• Ashley Amodio Garner, CCC-SLP
• Matthew Scoutt Garner, MD

• Speech-Language Pathologist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.