Individual provider Active NPI

Meredith Baker Fredline, CCC-SLP

  • Speech-Language Pathologist
  • New Caney, TX
National Provider Identifier
1477063998
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
23010 Gabriel Ste 105
New Caney, TX 77357-4164
Phone
(713) 376-9640
Fax
(281) 689-5665
NPI assigned
Oct 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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 Primary

Addresses

Primary practice location

23010 Gabriel Ste 105
New Caney, TX 77357-4164

Mailing address

21880 Roberts LN
New Caney, TX 77357-4748
Phone (713) 376-9640

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gold Speech, Inc. Speech-Language Pathologist Current Accepting new patients
Northeast Speech Pathology, PLLC Speech-Language Pathologist PastSince Apr 25, 2021 Accepting new patients

Organizations & group practices 2

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": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1477063998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21880 ROBERTS LN",
            "city": "NEW CANEY",
            "state": "TX",
            "postal_code": "773574748",
            "telephone_number": "713-376-9640",
            "fax_number": "281-689-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23010 GABRIEL STE 105",
            "city": "NEW CANEY",
            "state": "TX",
            "postal_code": "773574164",
            "telephone_number": "713-376-9640",
            "fax_number": "281-689-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDLINE",
        "first_name": "MEREDITH",
        "middle_name": "BAKER",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-11",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Caney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.