Autumn Page Freudenthaler, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP-1744 Issued in NV

Practice address

1546 W Warm Springs Rd Ste 110
Henderson, NV 89014-4326

Phone

(702) 565-5011

Fax

(702) 565-5012

NPI assigned

Jan 31, 2017

Last updated

Jan 31, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thrive Therapies LLC

  • Pediatric Occupational Therapist
  • Las Vegas, NV
  • NPI 1760842876

  Speech-Language Pathologist

  NPD (past)
• Heller Physical Therapy Inc

  dba Open Play Therapy

  • Physical Therapist
  • San Diego, CA
  • NPI 1073207288

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1861930695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1546 W WARM SPRINGS RD STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890144326",
            "telephone_number": "702-565-5011",
            "fax_number": "702-565-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1546 W WARM SPRINGS RD STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890144326",
            "telephone_number": "702-565-5011",
            "fax_number": "702-565-5012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREUDENTHALER",
        "first_name": "AUTUMN",
        "middle_name": "PAGE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-31",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-1744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fremont Womens Health Care
• Fresenius Medical Care Nkdhc, LLC (Fresenius Medical Care Oasis)
• Fresenius Medical Care Nkdhc, LLC (Fresenius Kidney Care Union Village)
• Fresenius Medical Care Nkdhc, LLC (Fresenius Kidney Care Union Village Dialysis)
• Fresenius Vascular Care Henderson ASC LLC (Azura Surgery Center Henderson)
• Samantha Nicole Aguon Frias
• Dominique Friday
• Laurie Rae Friedland, APRN
• Tiama E. Friend, M.D.
• Philip Friesen

• Speech-Language Pathologist in Henderson, NV
• Providers in Henderson, NV by specialty
• Speech-Language Pathologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.