Individual provider Active NPI

Barbara Fries, ED.D., CCC-SLP

  • Speech-Language Pathologist
  • Boca Raton, FL
National Provider Identifier
1912097148
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 2477 Issued in FL
Practice address
11435 W Palmetto Park Rd Ste J
Boca Raton, FL 33428-2630
Phone
(561) 702-6141
Fax
(561) 361-9179
NPI assigned
Oct 16, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 SA 2477 FL Primary

Addresses

Primary practice location

11435 W Palmetto Park Rd Ste J
Boca Raton, FL 33428-2630

Mailing address

14526 Paradise TRL
Loxahatchee, FL 33470-4635
Phone (561) 793-2731

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

State licenses

LicenseStateTypeSpecialty
SA 2477FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pedia-Speech, Inc. Speech-Language Pathologist Past Accepting new patients

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

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1912097148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14526 PARADISE TRL",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334704635",
            "telephone_number": "561-793-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11435 W PALMETTO PARK RD STE J",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334282630",
            "telephone_number": "561-702-6141",
            "fax_number": "561-361-9179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIES",
        "first_name": "BARBARA",
        "name_prefix": "Ms.",
        "credential": "ED.D., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 2477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.