Individual provider Active NPI

Christina Fikes, MSCCC/SLP

  • Speech-Language Pathologist
  • Mobile, AL
National Provider Identifier
1669065579
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4120 Issued in AL
Practice address
3085 Dauphin SQ Conn
Mobile, AL 36607-2517
Phone
(251) 450-1110
NPI assigned
Feb 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 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 PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 4120 AL Primary

Addresses

Primary practice location

3085 Dauphin SQ Conn
Mobile, AL 36607-2517

Mailing address

6140 Coronado Dr
Mobile, AL 36693-3727
Phone (251) 463-5175

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Tablet Health Information Exchange (HIE)

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
4120ALMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1669065579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6140 CORONADO DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366933727",
            "telephone_number": "251-463-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 DAUPHIN SQ CONN",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366072517",
            "telephone_number": "251-450-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIKES",
        "first_name": "CHRISTINA",
        "name_prefix": "Mrs.",
        "credential": "MSCCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "4120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Tablet",
            "affiliation": "N",
            "endpointDescription": "Homecare Homebase",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3085 Dauphin Sq Conn",
            "city": "Mobile",
            "state": "AL",
            "country_code": "US",
            "postal_code": "366072517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

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