Active NPI
Rachel Smart-Fadairo, MS, CCC/SLP
- Speech-Language Pathologist
- Houston, TX
National Provider Identifier
1184881260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 100396
- Practice address
- 9100 Southwest Fwy Ste 161
Houston, TX 77074-1584 - Phone
- (713) 997-9460
- Fax
- (281) 558-2782
- NPI assigned
- May 17, 2008
- 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 | 100396 | TX | Primary |
Addresses
Primary practice location
9100 Southwest Fwy Ste 161
Houston, TX 77074-1584
Mailing address
4011 Clayton Greens CT
Houston, TX 77082-4084
Phone (713) 997-9460
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 157322201 | Medicaid | TX | |
| 88065T | Other | TX | BLUE CROSS BLUE SHIELD OF TEXAS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
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.
-
- Speech-Language Pathologist
- Houston, TX
- NPI 1023340957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649030400000",
"number": "1184881260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4011 CLAYTON GREENS CT",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770824084",
"telephone_number": "713-997-9460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9100 SOUTHWEST FWY STE 161",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770741584",
"telephone_number": "713-997-9460",
"fax_number": "281-558-2782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMART-FADAIRO",
"first_name": "RACHEL",
"credential": "MS, CCC/SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-17",
"last_updated": "2022-04-04",
"certification_date": "2022-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "100396",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "157322201",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF TEXAS",
"identifier": "88065T",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; 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.