Madelyn Lorraine Fairey

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SI7074 Issued in FL

Practice address

5250 Giron Cir
Kissimmee, FL 34758-2057

Phone

(407) 201-4061

NPI assigned

Aug 14, 2024

Last updated

Aug 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Mrs K Speech, LLC

  dba Mrs K Therapy

  • Speech-Language Pathologist
  • Kissimmee, FL
  • NPI 1396456075
  NPD

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1326870957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7939 HORSE FERRY RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328355974",
            "telephone_number": "407-450-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 GIRON CIR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347582057",
            "telephone_number": "407-201-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIREY",
        "first_name": "MADELYN",
        "middle_name": "LORRAINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI7074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fabiola Douglas DDS, LLC (Apex Endodontic Studio)
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• Zaid Atir Fadhli, MD
• Edwin Doughty Faelnar
• Sophia Grace Failla
• Lissette Carolina Falcon
• Tiffany Falcon, FNP-C APRN
• Christian Gabriel Falgons, MD, BSE, SA-C
• Falls Family Care LLC
• Falls Family Center, LLC

• Speech-Language Assistant in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Speech-Language Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.