Active NPI
Bailey Jean Fletcher, M.S., CCC-SLP
- Speech-Language Pathologist
- Fargo, ND
National Provider Identifier
1235758806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1834
- Practice address
- 4500 36TH Ave S Ste 200
Fargo, ND 58104-5275 - Phone
- (701) 532-1507
- Fax
- (701) 532-1529
- NPI assigned
- Apr 13, 2020
- 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 | 1834 | ND | Primary |
Addresses
Primary practice location
4500 36TH Ave S Ste 200
Fargo, ND 58104-5275
Mailing address
4500 36TH Ave S Ste 200
Fargo, ND 58104-5275
Phone (701) 532-1507
Other names 1
- Bailey Jean Fletcher
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | onspottherapies.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4500 36TH Ave S
Suite 200
Fargo, ND 58104-5275
Phone (701) 532-1507
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1834 | ND | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| On Spot Therapy and Orofacial Myology, LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1411 32nd St SW
Fargo, ND 58103
Phone (701) 232-1232
4500 36th Ave S
Ste 200
Fargo, ND 58104
Phone (701) 532-1507
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
- Fargo, ND
- NPI 1588217301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655683200000",
"number": "1235758806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 36TH AVE S STE 200",
"city": "FARGO",
"state": "ND",
"postal_code": "581045275",
"telephone_number": "701-532-1507",
"fax_number": "701-532-1529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 36TH AVE S STE 200",
"city": "FARGO",
"state": "ND",
"postal_code": "581045275",
"telephone_number": "701-532-1507",
"fax_number": "701-532-1529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "BAILEY",
"middle_name": "JEAN",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-13",
"last_updated": "2022-06-20",
"certification_date": "2022-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ND",
"license": "1834",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "onspottherapies.com",
"affiliation": "N",
"endpointDescription": "Website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Contact information",
"address_1": "1411 32nd St S",
"city": "Fargo",
"state": "ND",
"country_code": "US",
"postal_code": "581036304",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "BAILEY",
"last_name": "FLETCHER",
"middle_name": "JEAN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.