Individual provider Active NPI

Carla S Phair, MS CCCSLP

  • Speech-Language Pathologist
  • Farmington, ME
National Provider Identifier
1316019771
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP1110 Issued in ME
Practice address
144 High St
Suite 2
Farmington, ME 04938
Phone
(207) 778-6262
Fax
(207) 778-5548
NPI assigned
Nov 14, 2006
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 SP1110 ME Primary

Addresses

Primary practice location

144 High St
Suite 2
Farmington, ME 04938

Mailing address

144 High St
Suite 2
Farmington, ME 04938
Phone (207) 778-6262

Other identifiers 1

IdentifierTypeStateIssuer
060556OtherMEANTHEM

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

LicenseStateTypeSpecialty
SP1110MEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin County Child Development SVS Speech-Language Pathologist Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316019771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 HIGH ST",
            "address_2": "SUITE 2",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "04938",
            "telephone_number": "207-778-6262",
            "fax_number": "207-778-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 HIGH ST",
            "address_2": "SUITE 2",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "04938",
            "telephone_number": "207-778-6262",
            "fax_number": "207-778-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAIR",
        "first_name": "CARLA",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "MS CCCSLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP1110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "060556",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, ME

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.