Frieda Marie Coakley, MS/CCC - SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

288-154 Issued in WI

Practice address

911 S Wayfare TRL
Oconomowoc, WI 53066-8704

Phone

(262) 965-2082

Fax

(262) 965-5086

NPI assigned

Sep 15, 2008

Last updated

Sep 15, 2008By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221436800000",
    "number": "1801045885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 S WAYFARE TRL",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530668704",
            "telephone_number": "262-965-2082",
            "fax_number": "262-965-5086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 S WAYFARE TRL",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530668704",
            "telephone_number": "262-965-2082",
            "fax_number": "262-965-5086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COAKLEY",
        "first_name": "FRIEDA",
        "middle_name": "MARIE",
        "credential": "MS/CCC - SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-15",
        "last_updated": "2008-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "288-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Oconomowoc, WI
• Providers in Oconomowoc, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.