Active NPI
Natalie Michelle Fredericka, CCC-SLP
- Speech-Language Pathologist
- Canfield, OH
National Provider Identifier
1265108682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP14523
- Practice address
- 7320 N Palmyra Rd
Canfield, OH 44406-9709 - Phone
- (330) 533-8755
- NPI assigned
- Aug 17, 2021
- 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 | SP14523 | OH | Primary |
Addresses
Primary practice location
7320 N Palmyra Rd
Canfield, OH 44406-9709
Mailing address
1932 Niles Cortland Rd NE Ste S
Warren, OH 44484-1055
Phone (330) 856-1520
Other practice location 1
1932 Niles Cortland Rd NE Ste S
Warren, OH 44484-1055
Phone (330) 856-1520
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP14523 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1265108682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1932 NILES CORTLAND RD NE STE S",
"city": "WARREN",
"state": "OH",
"postal_code": "444841055",
"telephone_number": "330-856-1520",
"fax_number": "330-856-7342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7320 N PALMYRA RD",
"city": "CANFIELD",
"state": "OH",
"postal_code": "444069709",
"telephone_number": "330-533-8755"
}
],
"practiceLocations": [
{
"address_1": "1932 Niles Cortland Rd NE Ste S",
"address_purpose": "LOCATION",
"city": "Warren",
"state": "OH",
"postal_code": "444841055",
"country_code": "US",
"telephone_number": "330-856-1520",
"fax_number": "330-856-7342",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FREDERICKA",
"first_name": "NATALIE",
"middle_name": "MICHELLE",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-17",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP14523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.