Active NPI
Cristina Fetter, M.S. CCC/SLP
- Speech-Language Pathologist
- Coppell, TX
National Provider Identifier
1841666476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 22006128A
- Practice address
- 8840 Cypress Waters Blvd
Suite 300
Coppell, TX 75019-4594 - Phone
- (866) 217-0265
- Fax
- (844) 819-9147
- NPI assigned
- Aug 18, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 22006128A | IN | Primary |
Addresses
Primary practice location
8840 Cypress Waters Blvd
Suite 300
Coppell, TX 75019-4594
Mailing address
8840 Cypress Waters Blvd
Suite 300
Coppell, TX 75019-4594
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22006128A | IN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439856000000",
"number": "1841666476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8840 CYPRESS WATERS BLVD",
"address_2": "SUITE 300",
"city": "COPPELL",
"state": "TX",
"postal_code": "750194594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8840 CYPRESS WATERS BLVD",
"address_2": "SUITE 300",
"city": "COPPELL",
"state": "TX",
"postal_code": "750194594",
"telephone_number": "866-217-0265",
"fax_number": "844-819-9147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FETTER",
"first_name": "CRISTINA",
"credential": "M.S. CCC/SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-18",
"last_updated": "2015-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "22006128A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coppell, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.