JENNIFER E COLOMBO (CCC SLP) – Speech-Language Pathologist, NPI 1053512079

JENNIFER E COLOMBO (CCC SLP) is a healthcare provider. based in Sarasota, Florida. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials CCC SLP. They hold a License No. SA5010 (FL). The NPI Number for JENNIFER E COLOMBO (CCC SLP) is 1053512079

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER E COLOMBO (CCC SLP)
NPI
1053512079
Phone
(941) 758-3140
Address
3220 S Tamiami Trl
Enumeration Date
29 May 2007
Last Update Date
30 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9417583140
Graduation Year
1997 (29 years ago)
PAC ID
0941105720
Group Practice PAC ID
5597660365
Professional Enrollment ID
I20171102003580
Address ID
FL342408411LA6977XPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

570 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in FL

Provider Addresses for JENNIFER E COLOMBO (CCC SLP)

  • 3220 S Tamiami Trl

    Sarasota, FL 342395102

    Phone: (941) 758-3140

    Fax: (941) 702-9988

    Type: Location

  • 11047 Gatewood Dr

    Bradenton, FL 342114916

    Phone: (941) 758-3140

    Fax: (941) 702-9988

    Type: Location

  • 6977 PROFESSIONAL PKWY E

    LAKEWOOD RANCH, FL 34240

    Phone: (941) 758-3140

    Fax: (941) 870-4891

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-11-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171102003580IQualified Speech Language PathologistFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92507Treatment of speech, language, voice, communication, and/or hearing processing disorder9314$0
View full utilization report →

Insurance plans in this area (ZIP 34239)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597660365View full group profile
NameSpecialtyState
Qualified Speech Language PathologistFL
-FL
Qualified Speech Language PathologistFL

Reviews

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Frequently asked questions

Can I verify JENNIFER E COLOMBO (CCC SLP) with an NPI only?
You can start verification with NPI 1053512079 for JENNIFER E COLOMBO (CCC SLP), then check state licensing separately.
Does CMS list JENNIFER E COLOMBO (CCC SLP) as active?
Yes — JENNIFER E COLOMBO (CCC SLP) is active in the NPI listing used on this page.
What is JENNIFER E COLOMBO (CCC SLP)'s primary classification?
Speech-Language Pathologist is the headline specialty for JENNIFER E COLOMBO (CCC SLP) here. Clinical services aligned with this taxonomy classification.
Where is JENNIFER E COLOMBO (CCC SLP) based?
JENNIFER E COLOMBO (CCC SLP) is tied to Sarasota, Florida in the data we show; additional addresses may exist on the full record.
Is the information about JENNIFER E COLOMBO (CCC SLP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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