Individual provider Active NPI

Patricia K. Fairchild, MA, CCC-SP

  • Speech-Language Pathologist
  • Rhinebeck, NY
National Provider Identifier
1033361209
Registry record updated Oct 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
006626-1 Issued in NY
Practice address
9 Cedar Dr
Rhinebeck, NY 12572-1004
Phone
(845) 876-4313
NPI assigned
Oct 19, 2008
Last updated
Oct 19, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 006626-1 NY Primary

Addresses

Primary practice location

9 Cedar Dr
Rhinebeck, NY 12572-1004

Mailing address

48 Treetops TRL
Bloomingburg, NY 12721-4336
Phone (845) 386-3999

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
006626-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Valley Speech Therapy, PC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1224374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224374400000",
    "number": "1033361209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 TREETOPS TRL",
            "city": "BLOOMINGBURG",
            "state": "NY",
            "postal_code": "127214336",
            "telephone_number": "845-386-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CEDAR DR",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125721004",
            "telephone_number": "845-876-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRCHILD",
        "first_name": "PATRICIA",
        "middle_name": "K.",
        "name_prefix": "Ms.",
        "credential": "MA, CCC-SP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-19",
        "last_updated": "2008-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "006626-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rhinebeck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2008; 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.