Active NPI
Marianne Tod Fitzsimons, MS CCC-SLP
- Speech-Language Pathologist
- Junction City, KS
National Provider Identifier
1174712442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2139
- Practice address
- 1102 Saint Marys Rd
Speech and Language Clinic
Junction City, KS 66441-4139 - Phone
- (785) 762-3350
- NPI assigned
- Oct 23, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2139 | KS | Primary |
Addresses
Primary practice location
1102 Saint Marys Rd
Speech and Language Clinic
Junction City, KS 66441-4139
Mailing address
PO Box 1354
Junction City, KS 66441-1354
Phone (785) 210-7444
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 |
|---|---|---|---|
| 2139 | KS | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193097600000",
"number": "1174712442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1354",
"city": "JUNCTION CITY",
"state": "KS",
"postal_code": "664411354",
"telephone_number": "785-210-7444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 SAINT MARYS RD",
"address_2": "SPEECH AND LANGUAGE CLINIC",
"city": "JUNCTION CITY",
"state": "KS",
"postal_code": "664414139",
"telephone_number": "785-762-3350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZSIMONS",
"first_name": "MARIANNE",
"middle_name": "TOD",
"name_prefix": "Ms.",
"credential": "MS CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-23",
"last_updated": "2007-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KS",
"license": "2139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Junction City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.