Individual provider Active NPI

Denise Chisari, M.S. CCC/SLP

  • Speech-Language Pathologist
  • Fryeburg, ME
National Provider Identifier
1760763544
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP1313 Issued in ME
Practice address
568 Main St
Fryeburg, ME 04037-1146
Phone
(207) 935-3500
Fax
(207) 935-7384
NPI assigned
Sep 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2011

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 SP1313 ME Primary

Addresses

Primary practice location

568 Main St
Fryeburg, ME 04037-1146

Mailing address

568 Main St
Fryeburg, ME 04037-1146
Phone (207) 935-3500

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)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Community Chiropractic ENT Inc. CurrentSince Jan 19, 2005 Accepting new patients

Locations

568 Main St
Fryeburg, ME 04037
Phone (207) 935-3500

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315353600000",
    "number": "1760763544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "568 MAIN ST",
            "city": "FRYEBURG",
            "state": "ME",
            "postal_code": "040371146",
            "telephone_number": "207-935-3500",
            "fax_number": "207-935-7384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "568 MAIN ST",
            "city": "FRYEBURG",
            "state": "ME",
            "postal_code": "040371146",
            "telephone_number": "207-935-3500",
            "fax_number": "207-935-7384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISARI",
        "first_name": "DENISE",
        "credential": "M.S. CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-07",
        "last_updated": "2011-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP1313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fryeburg, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.