Individual provider Active NPI

Alyssa Marie Fairchild, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Katy, TX
National Provider Identifier
1689802043
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
104915 Issued in TX
Practice address
26622 Cook Field Rd Ste 200
Katy, TX 77494-2139
Phone
(281) 766-3831
Fax
(844) 615-5271
NPI assigned
Jun 24, 2009
Last updated
Sep 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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 104915 TX Primary

Addresses

Primary practice location

26622 Cook Field Rd Ste 200
Katy, TX 77494-2139

Mailing address

26622 Cook Field Rd Ste 200
Katy, TX 77494-2139
Phone (281) 766-3831

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
104915TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Katy Speech and Language Speech-Language Pathologist CurrentSince Oct 15, 2023 Accepting new patients

Locations

26622 Cook Field Rd
Ste 200
Katy, TX 77494
Phone (281) 766-3831

10401 S Mason Rd
Ste E501
Richmond, TX 77406
Phone (281) 766-3831

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1689802043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26622 COOK FIELD RD STE 200",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774942139",
            "telephone_number": "281-766-3831",
            "fax_number": "844-615-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26622 COOK FIELD RD STE 200",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774942139",
            "telephone_number": "281-766-3831",
            "fax_number": "844-615-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRCHILD",
        "first_name": "ALYSSA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-24",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "104915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.