Individual provider Active NPI

Denise Estelle Friesenhahn, M.ED.CCC/SLP

  • Speech-Language Pathologist
  • Shavano Park, TX
National Provider Identifier
1689825580
Registry record updated Aug 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
13760 Issued in TX
Practice address
4095 Dezavala Rd
Shavano Park, TX 78249-2066
Phone
(210) 493-8100
Fax
(210) 493-8154
NPI assigned
Oct 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2013

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 13760 TX Primary

Addresses

Primary practice location

4095 Dezavala Rd
Shavano Park, TX 78249-2066

Mailing address

15316 Huebner Rd Ste 202
San Antonio, TX 78248-0994
Phone (210) 614-4567

Other names 1

  • Denise Estelle Simecki Former name

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
13760TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377475200000",
    "number": "1689825580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15316 HUEBNER RD STE 202",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782480994",
            "telephone_number": "210-614-4567",
            "fax_number": "210-614-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4095 DEZAVALA RD",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782492066",
            "telephone_number": "210-493-8100",
            "fax_number": "210-493-8154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIESENHAHN",
        "first_name": "DENISE",
        "middle_name": "ESTELLE",
        "credential": "M.ED.CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-09",
        "last_updated": "2013-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "13760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "SIMECKI",
            "middle_name": "ESTELLE",
            "credential": "MED.CCC/SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shavano Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.