Active NPI
Jillian Ashley Fried, SLP
- Speech-Language Pathologist
- Kingston, NY
National Provider Identifier
1255605077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 021740
- Practice address
- 139 Cornell St
Kingston, NY 12401-3633 - Phone
- (845) 338-1234
- Fax
- (845) 338-6284
- NPI assigned
- Feb 24, 2012
- Last updated
- Feb 24, 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 | 021740 | NY | Primary |
Addresses
Primary practice location
139 Cornell St
Kingston, NY 12401-3633
Mailing address
139 Cornell St
Kingston, NY 12401-3633
Phone (845) 338-1234
Other names 1
- Jillian Fried
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nysarc Inc. Ulster, Greene, Putnam Counties Chapter | Past | Accepting new patients | |
| Hudson Valley Health Specialties, Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Kingston, NY
- NPI 1184703308
-
dba The Arc Mid-Hudson
- Developmental Disabilities Clinic/Center
- Kingston, NY
- NPI 1164467007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330041600000",
"number": "1255605077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 CORNELL ST",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124013633",
"telephone_number": "845-338-1234",
"fax_number": "845-338-6284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 CORNELL ST",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124013633",
"telephone_number": "845-338-1234",
"fax_number": "845-338-6284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIED",
"first_name": "JILLIAN",
"middle_name": "ASHLEY",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-24",
"last_updated": "2012-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "021740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JILLIAN",
"last_name": "FRIED",
"credential": "SLP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Kingston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.