Kristin Ann Fradua, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

019542-1 Issued in NY

Practice address

2 Beach Rd
Miller Place, NY 11764-1801

Phone

(516) 661-2252

NPI assigned

Sep 22, 2009

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

Credentials

Master of Arts

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.

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  NPD (past)

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1902130065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BEACH RD",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117641801",
            "telephone_number": "516-661-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BEACH RD",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117641801",
            "telephone_number": "516-661-2252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6725 188th St",
            "address_purpose": "LOCATION",
            "city": "Fresh Meadows",
            "state": "NY",
            "postal_code": "113653767",
            "country_code": "US",
            "telephone_number": "718-454-6460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRADUA",
        "first_name": "KRISTIN",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-22",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "019542-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Filangeri
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• Justin Lloyd Fink, PA-C
• Laura Flerx, RNC, CCRN , CBC
• Donna Ann Fort-Brennan, SLP
• Samantha Nicole Frank
• Kim Frick
• Katherine Ancona Frielingsdorf, MS, RD, CDN, CDCES
• Christine Frye
• FS Wellness Inc.

• Speech-Language Pathologist in Miller Place, NY
• Providers in Miller Place, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.