Raeann Marie Fleming, MA, SLP, ESA

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

367286B Issued in WA

Practice address

1100 W Clark Rd # 829
Connell, WA 99326-9700

Phone

(509) 234-9218

Fax

(509) 234-9204

NPI assigned

Jan 11, 2013

Last updated

Jan 11, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• North Franklin School District

  • Local Education Agency (LEA)
  • Connell, WA
  • NPI 1235477670
  NPD (past)

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

{
    "created_epoch": "1357862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357862400000",
    "number": "1417294307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W CLARK RD # 829",
            "city": "CONNELL",
            "state": "WA",
            "postal_code": "993269700",
            "telephone_number": "509-234-9218",
            "fax_number": "509-234-9204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W CLARK RD # 829",
            "city": "CONNELL",
            "state": "WA",
            "postal_code": "993269700",
            "telephone_number": "509-234-9218",
            "fax_number": "509-234-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "RAEANN",
        "middle_name": "MARIE",
        "credential": "MA, SLP, ESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-11",
        "last_updated": "2013-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "367286B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDUCATIONAL STAFF ASSOCIATE, SCHOOL SPEECH LANGUAGE PATHOLOGIST",
            "identifier": "367286B",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Columbia Basin Health Association (Connell Pharmacy)
• Columbia Basin Health Association (Connell Clinic)
• Jolene Downs
• Stacy Ferguson, PTA, AA
• Dale T Fetroe, MD
• Gary Byron Fletcher
• Jessica Lynn Forsyth, SLPA
• Linda Gimmeson, LMP
• Gwyn Renee Gregg, SLPA
• Dora G Gutierrez, SLPA, AA

• Speech-Language Pathologist in Connell, WA
• Providers in Connell, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; 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.