Maria I. Ferrer Fenn, MS, CCC, CG, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA5078 Issued in FL

Practice address

8254 118TH Avenue North
Suite 100
Largo, FL 33773-5027

Phone

(727) 541-5304

Fax

(727) 546-8527

NPI assigned

May 14, 2007

Last updated

Mar 23, 2017By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1558577171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2566 OAK TRL S",
            "address_2": "APT 213",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337647564",
            "telephone_number": "727-541-5304",
            "fax_number": "727-546-8527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8254 118TH AVENUE NORTH",
            "address_2": "SUITE 100",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337735027",
            "telephone_number": "727-541-5304",
            "fax_number": "727-546-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRER FENN",
        "first_name": "MARIA",
        "middle_name": "I.",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC, CG, SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA5078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "888164200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Eve Fernandez, ARNP-C
• Josephine Fernandez, AUD
• Santiago David Fernandez, DO
• Giulia Ferrara
• Julia Rose Ferrara
• Dario Ferrer Torres, DDS
• Erin Fetters
• Brian A Field, M.D.
• Ronald A Figueredo, MD
• Jorge Anthony Figueroa, MD

• Speech-Language Pathologist in Largo, FL
• Providers in Largo, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.