Caitlin Fanning, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2204000169 Issued in VA

Practice address

430 E Shirley Ave
Warrenton, VA 20186-3725

Phone

(540) 422-7140

NPI assigned

Aug 23, 2018

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

Electronic endpoints 1

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 and National Provider Directory roles.

• Fanning Therapy Services, LLC

  • Speech-Language Pathologist
  • Culpeper, VA
  • NPI 1891496154
  NPD Authorized official

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1912488388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6113 PILGRIMS REST RD",
            "city": "BROAD RUN",
            "state": "VA",
            "postal_code": "201372315",
            "telephone_number": "571-495-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 E SHIRLEY AVE",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201863725",
            "telephone_number": "540-422-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANNING",
        "first_name": "CAITLIN",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2204000169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "caitlin.fanning@fcps1.org",
            "affiliation": "N",
            "address_1": "430 E Shirley Ave",
            "city": "Warrenton",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201863725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Family Focus Counseling Services PC
• Family Psychiatric Services LLC
• Esker Jay Farris III, MA, MS
• Fauquier Counseling Center
• Fauquier County Board of Supervisors
• Fauquier County Dental Clinic
• Fauquier County Public Schools

• Speech-Language Pathologist in Warrenton, VA
• Providers in Warrenton, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.