Individual provider Active NPI

Kristi Lee Fleming-Frum, MC, CCC-SLP

  • Speech-Language Pathologist
  • Gallipolis, OH
National Provider Identifier
1275738114
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP 8195 Issued in OH
Practice address
170 Pinecrest Dr
Gallipolis, OH 45631-1347
Phone
(740) 446-7112
Fax
(740) 446-9088
NPI assigned
Jun 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP 8195 OH Primary

Addresses

Primary practice location

170 Pinecrest Dr
Gallipolis, OH 45631-1347

Mailing address

RR 1 Box 584
488 Greenbrier Estates
Point Pleasant, WV 25550-9746
Phone (304) 675-6253

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

LicenseStateTypeSpecialty
SP 8195OHMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275738114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 584",
            "address_2": "488 GREENBRIER ESTATES",
            "city": "POINT PLEASANT",
            "state": "WV",
            "postal_code": "255509746",
            "telephone_number": "304-675-6253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 PINECREST DR",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456311347",
            "telephone_number": "740-446-7112",
            "fax_number": "740-446-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING-FRUM",
        "first_name": "KRISTI",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "MC, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP 8195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallipolis, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.