Active NPI
Terry R Faith, M.S. CCC-SLP
- Speech-Language Pathologist
- Monroe, WI
National Provider Identifier
1922210772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 781-154
- Practice address
- 516 26TH Ave
Monroe, WI 53566-1531 - Phone
- (608) 329-6600
- Fax
- (608) 329-6594
- NPI assigned
- May 4, 2007
- 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 | 781-154 | WI | Primary |
Addresses
Primary practice location
516 26TH Ave
Monroe, WI 53566-1531
Mailing address
523 Saint Clare CT
Monroe, WI 53566-1541
Phone (608) 325-4156
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42707100 | Medicaid | WI |
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 |
|---|---|---|---|
| 781-154 | WI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922210772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "523 SAINT CLARE CT",
"city": "MONROE",
"state": "WI",
"postal_code": "535661541",
"telephone_number": "608-325-4156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 26TH AVE",
"city": "MONROE",
"state": "WI",
"postal_code": "535661531",
"telephone_number": "608-329-6600",
"fax_number": "608-329-6594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAITH",
"first_name": "TERRY",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "781-154",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42707100",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.