Individual provider Active NPI

Alison Czerniejewski, M. A. CCC-SLP

  • Speech-Language Pathologist
  • Adrian, MI
National Provider Identifier
1437693041
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP8683 Issued in OH
Practice address
2300 Whig Hwy
Adrian, MI 49221-7706
Phone
(419) 290-4369
NPI assigned
Dec 15, 2016
Last updated
Dec 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP8683 OH Primary
Speech-Language Pathologist 235Z00000X 7101004057 MI

Addresses

Primary practice location

2300 Whig Hwy
Adrian, MI 49221-7706

Mailing address

2300 Whig Hwy
Adrian, MI 49221-7706

Other names 1

  • Alison Fairchild Former name

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

State licenses

LicenseStateTypeSpecialty
7101004057MIMDSpeech-Language Pathologist
SP8683OHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481760000000",
    "number": "1437693041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 WHIG HWY",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492217706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 WHIG HWY",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492217706",
            "telephone_number": "419-290-4369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZERNIEJEWSKI",
        "first_name": "ALISON",
        "credential": "M. A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-15",
        "last_updated": "2016-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP8683",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101004057",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISON",
            "last_name": "FAIRCHILD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Adrian, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; 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.