Active NPI
Annette Michelle Faehnle, M.A., CCC-SLP
- Speech-Language Pathologist
- Key West, FL
National Provider Identifier
1215284658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA11764
- Practice address
- 3718 N Roosevelt Blvd
Ste F
Key West, FL 33040-4533 - Phone
- (305) 247-8227
- Fax
- (305) 247-8228
- NPI assigned
- Aug 3, 2012
- 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 | SA11764 | FL | Primary |
Addresses
Primary practice location
3718 N Roosevelt Blvd
Ste F
Key West, FL 33040-4533
Mailing address
1031 Mitscher Dr
Key West, FL 33040-7019
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA11764 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343952000000",
"number": "1215284658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1031 MITSCHER DR",
"city": "KEY WEST",
"state": "FL",
"postal_code": "330407019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3718 N ROOSEVELT BLVD",
"address_2": "STE F",
"city": "KEY WEST",
"state": "FL",
"postal_code": "330404533",
"telephone_number": "305-247-8227",
"fax_number": "305-247-8228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAEHNLE",
"first_name": "ANNETTE",
"middle_name": "MICHELLE",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-03",
"last_updated": "2012-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA11764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Key West, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.