Tarah A Fedenia

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4573-154 Issued in WI

Practice address

8400 Sheridan Rd
Kenosha, WI 53143-6327

Phone

(262) 658-4141

NPI assigned

Mar 8, 2018

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520467200000",
    "number": "1144722828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 SHERIDAN RD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531436327",
            "telephone_number": "262-658-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 SHERIDAN RD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531436327",
            "telephone_number": "262-658-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDENIA",
        "first_name": "TARAH",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-08",
        "last_updated": "2018-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "4573-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca A Fapso, RN
• David Eric Farkas, MD
• Leah F. Farley, M.D.
• Zebi Fatima, MD
• Leah J Featherstone, PSYD
• Benjamin A Feinzimer, D.O.
• Scott R Feldy, DO
• Virginia V Fennema, MSW, LCSW
• Karen Marie Fenske, NNP, APNP
• Linda M. Fenske, L.P.N.

• Speech-Language Pathologist in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; 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.