Active NPI
Heather Orgeron Fried, MS, CCC-SLP
- Speech-Language Pathologist
- Hattiesburg, MS
National Provider Identifier
1225293269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- S3205
- Practice address
- 5834 W 4TH St
Apt D
Hattiesburg, MS 39402-8643 - Phone
- (601) 818-0103
- NPI assigned
- Jul 18, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | S3205 | MS | Primary |
Addresses
Primary practice location
5834 W 4TH St
Apt D
Hattiesburg, MS 39402-8643
Mailing address
5834 W 4TH St
Apt D
Hattiesburg, MS 39402-8643
Phone (601) 818-0103
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 |
|---|---|---|---|
| S3205 | MS | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216339200000",
"number": "1225293269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5834 W 4TH ST",
"address_2": "APT D",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394028643",
"telephone_number": "601-818-0103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5834 W 4TH ST",
"address_2": "APT D",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394028643",
"telephone_number": "601-818-0103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIED",
"first_name": "HEATHER",
"middle_name": "ORGERON",
"name_prefix": "Mrs.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-18",
"last_updated": "2008-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MS",
"license": "S3205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.