Individual provider Active NPI

Fatima Queennel Major, CLINSCD, CCC-SLP

  • Speech-Language Pathologist
  • Indianapolis, IN
National Provider Identifier
1164900502
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22004003A Issued in IN
Practice address
8673 Meridian Square Dr
Indianapolis, IN 46240-2285
Phone
(317) 869-8826
NPI assigned
Jul 28, 2018
Last updated
Mar 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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 22004003A IN Primary

Addresses

Primary practice location

8673 Meridian Square Dr
Indianapolis, IN 46240-2285

Mailing address

8673 Meridian Square Dr
Indianapolis, IN 46240-2285
Phone (317) 869-8826

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190624001695 IN Practitioner - Qualified Speech Language Pathologist 7719211804 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpro Heritage Rehab & Fitness, LLC Single Specialty CurrentSince Jul 5, 2023 Accepting new patients
Think Speak Swallow, LLC CurrentSince Mar 16, 2021 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Single Specialty CurrentSince Jul 5, 2023 Accepting new patients

Locations

303 Congressional Blvd
Ste 200
Carmel, IN 46032
Phone (317) 869-8826

Organizations & group practices 3

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": "1532736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1164900502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8673 MERIDIAN SQUARE DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462402285",
            "telephone_number": "317-869-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8673 MERIDIAN SQUARE DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462402285",
            "telephone_number": "317-869-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAJOR",
        "first_name": "FATIMA",
        "middle_name": "QUEENNEL",
        "name_prefix": "Dr.",
        "credential": "CLINSCD, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-28",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22004003A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.