Active NPI
Charlene Fredman, M.S., CCC-SLP
- Speech-Language Pathologist
- Monterey, CA
National Provider Identifier
1114210408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 22508
- Practice address
- 333 Alvarado Street, Apt. 204
Monterey, CA 93940 - Phone
- (703) 474-0402
- NPI assigned
- May 19, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202004689 | VA | |
| Speech-Language Pathologist | 235Z00000X | 22508 | CA | Primary |
Addresses
Primary practice location
333 Alvarado Street, Apt. 204
Monterey, CA 93940
Mailing address
333 Alvarado Street, Apt. 204
Monterey, CA 93940
Phone (703) 474-0402
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22508 | CA | MD | Speech-Language Pathologist |
| 2202004689 | VA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452643200000",
"number": "1114210408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 ALVARADO STREET, APT. 204",
"city": "MONTEREY",
"state": "CA",
"postal_code": "93940",
"telephone_number": "703-474-0402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 ALVARADO STREET, APT. 204",
"city": "MONTEREY",
"state": "CA",
"postal_code": "93940",
"telephone_number": "703-474-0402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREDMAN",
"first_name": "CHARLENE",
"name_prefix": "Ms.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-19",
"last_updated": "2016-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202004689",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "22508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monterey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.