Individual provider Active NPI

Alison Fagans

  • Speech-Language Pathologist
  • Cleveland, OH
National Provider Identifier
1053909143
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.14252 Issued in OH
Practice address
2211 W 65TH St
Cleveland, OH 44102-5324
Phone
(216) 352-4030
NPI assigned
Jan 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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 SP.14252 OH Primary

Addresses

Primary practice location

2211 W 65TH St
Cleveland, OH 44102-5324

Mailing address

1111 Superior Ave E Ste 1800
Cleveland, OH 44114-2500
Phone (614) 448-7247

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

State licenses

LicenseStateTypeSpecialty
SP.14252OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Metropolitan School District CurrentSince May 4, 2025 Accepting new patients

Locations

1111 Superior Ave
Ste 1800
Cleveland, OH 44114
Phone (216) 592-7237

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1053909143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 SUPERIOR AVE E STE 1800",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441142500",
            "telephone_number": "614-448-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 W 65TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441025324",
            "telephone_number": "216-352-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGANS",
        "first_name": "ALISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-05",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.14252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.