Individual provider Active NPI

Bess Sirmon Fjordbak, PHD, CCC-SLP

  • Speech-Language Pathologist
  • El Paso, TX
National Provider Identifier
1730336629
Registry record updated Aug 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
102632 Issued in TX
Practice address
4800 N Stanton St
#176
El Paso, TX 79902-1238
Phone
(915) 202-7271
NPI assigned
Aug 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 102632 TX Primary
Speech-Language Pathologist 235Z00000X 1573 GA

Addresses

Primary practice location

4800 N Stanton St
#176
El Paso, TX 79902-1238

Mailing address

4800 N Stanton St
#176
El Paso, TX 79902-1238
Phone (915) 202-7271

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
102632TXMDSpeech-Language Pathologist
1573GAMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219276800000",
    "number": "1730336629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N STANTON ST",
            "address_2": "#176",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799021238",
            "telephone_number": "915-202-7271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 N STANTON ST",
            "address_2": "#176",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799021238",
            "telephone_number": "915-202-7271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FJORDBAK",
        "first_name": "BESS",
        "middle_name": "SIRMON",
        "name_prefix": "Dr.",
        "credential": "PHD, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-21",
        "last_updated": "2008-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "102632",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "1573",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.