Individual provider Active NPI

Connie Lynn Friemering, M.A.CCC/SLP

  • Speech-Language Pathologist
  • Saint Marys, OH
National Provider Identifier
1730312547
Registry record updated Aug 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP3160 Issued in OH
Practice address
1209 Indiana Ave
Saint Marys, OH 45885-1310
Phone
(419) 394-7611
NPI assigned
Aug 26, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2009

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 SLP3160 OH Primary

Addresses

Primary practice location

1209 Indiana Ave
Saint Marys, OH 45885-1310

Mailing address

130 Saint Clair PL
New Bremen, OH 45869-9690
Phone (419) 629-3258

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
SLP3160OHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251244800000",
    "number": "1730312547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 SAINT CLAIR PL",
            "city": "NEW BREMEN",
            "state": "OH",
            "postal_code": "458699690",
            "telephone_number": "419-629-3258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 INDIANA AVE",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458851310",
            "telephone_number": "419-394-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEMERING",
        "first_name": "CONNIE",
        "middle_name": "LYNN",
        "credential": "M.A.CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-26",
        "last_updated": "2009-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SLP3160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.