Active NPI
Kerianna Krehbiel, CCC-SLP
- Speech-Language Pathologist
- Westminster, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 09283
- Practice address
- 511 Jermor LN Ste 102
Westminster, MD 21157-6152 - Phone
- (410) 618-1090
- NPI assigned
- Jan 21, 2021
- Last updated
- May 18, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 09283 | MD | Primary |
Addresses
Primary practice location
511 Jermor LN Ste 102
Westminster, MD 21157-6152
Mailing address
8424 Cotoneaster Dr Apt 3B
Ellicott City, MD 21043-7357
Phone (302) 233-8425
Other practice location 1
3101 Fallstaff Rd
Baltimore, MD 21209-2967
Phone (410) 601-0842
Other names 1
- Kerianna Frederick
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kfrederick@lifebridghealth.org | Direct | LifeBridge Health |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
511 Jermor LN
Suite 102
Westminster, MD 21157-6152
Phone (410) 871-2494
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09283 | MD | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therafit Enterprises, Inc. | Speech-Language Pathologist | Current | Accepting new patients |
| Therafit Enterprises, Inc. | Speech-Language Pathologist | Current | Accepting new patients |
| Therafit Enterprises, Inc. | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1220 E Joppa Rd
Ste 109
Towson, MD 21286
Phone (410) 415-1992
511 Jermor Ln
Ste 102
Westminster, MD 21157
Phone (410) 415-1992
Organizations & group practices 3
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.
-
dba TheraFit Rehab
- Physical Therapist
- Westminster, MD
- NPI 1366772568
Speech-Language Pathologist
-
dba TheraFit Rehab
- Physical Therapist
- Baltimore, MD
- NPI 1669958021
Speech-Language Pathologist
-
- Physical Therapist
- Baltimore, MD
- NPI 1841969250
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684368000000",
"number": "1508456864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8424 COTONEASTER DR APT 3B",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210437357",
"telephone_number": "302-233-8425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 JERMOR LN STE 102",
"city": "WESTMINSTER",
"state": "MD",
"postal_code": "211576152",
"telephone_number": "410-618-1090"
}
],
"practiceLocations": [
{
"address_1": "3101 Fallstaff Rd",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212092967",
"country_code": "US",
"telephone_number": "410-601-0842",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KREHBIEL",
"first_name": "KERIANNA",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-21",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "09283",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kfrederick@lifebridghealth.org",
"affiliation": "Y",
"endpointDescription": "Secure professional email",
"affiliationName": "LifeBridge Health",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3101 Fallstaff Rd",
"city": "Baltimore",
"state": "MD",
"country_code": "US",
"postal_code": "212092967",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KERIANNA",
"last_name": "FREDERICK",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Westminster, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.