McKayla Fielstra, MS-CF

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

46004233A Issued in IN

Practice address

902 Provident Dr Ste C
Warsaw, IN 46580-3379

Phone

(574) 376-2316

NPI assigned

Jun 15, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Joes Kids Inc

  • Physical Therapist
  • Warsaw, IN
  • NPI 1205267044

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1750065058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 PROVIDENT DR STE C",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803379",
            "telephone_number": "574-376-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 PROVIDENT DR STE C",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803379",
            "telephone_number": "574-376-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELSTRA",
        "first_name": "MCKAYLA",
        "credential": "MS-CF",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "46004233A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SLP-CFY LICENSE NUMBER",
            "identifier": "46004233A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa Faulkner
• Brian J Faust, MA
• Haley Fellabaum
• Lena B Fermback, D.D.S.
• Teri Lynn Fields, MS CCC-SLP
• Nicholas Finken, LAT ATC
• Nicholas L Finley, MD
• Megan Fisher
• Rachel Fisher
• Vicki L Fisher, BC-HIS

• Speech-Language Pathologist in Warsaw, IN
• Providers in Warsaw, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.