Active NPI
Jennifer A Fafinski, MS, CCC-SLP
- Speech-Language Pathologist
- Middleton, WI
National Provider Identifier
1275808941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2446-154
- Practice address
- 6630 University Ave
Middleton Rehab Clinic
Middleton, WI 53562-3036 - Phone
- (608) 263-8412
- NPI assigned
- Mar 14, 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 | 2446-154 | WI | Primary |
Addresses
Primary practice location
6630 University Ave
Middleton Rehab Clinic
Middleton, WI 53562-3036
Mailing address
6630 University Ave
Middleton, WI 53562-3036
Phone (608) 263-8412
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 |
|---|---|---|---|
| 2446-154 | WI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331683200000",
"number": "1275808941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6630 UNIVERSITY AVE",
"city": "MIDDLETON",
"state": "WI",
"postal_code": "535623036",
"telephone_number": "608-263-8412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6630 UNIVERSITY AVE",
"address_2": "MIDDLETON REHAB CLINIC",
"city": "MIDDLETON",
"state": "WI",
"postal_code": "535623036",
"telephone_number": "608-263-8412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAFINSKI",
"first_name": "JENNIFER",
"middle_name": "A",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-14",
"last_updated": "2012-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "2446-154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middleton, WI
- Maureen Ann Erickson, MPA, OTR/L
- Eternal Hope Chiropractic, LLC
- Evec Enterprises, LLC (Zounds Hearing of Madison)
- Evergreen Counseling and Wellness LLC
- Expert Care Afh LLC
- Nadeha Fareed, PHARMD
- Charmaine Renee Farrille
- Kimberly Marie Feist, M.S.
- Kenneth Felz, MD
- Fenske Holistic Healthcare Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.