Carrie Fahrendorf, M.A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP9475 Issued in OH

Practice address

5945 Montgomery Rd
Cincinnati, OH 45213-1609

Phone

(513) 363-4478

NPI assigned

Feb 7, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Carrie Wilson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395273600000",
    "number": "1932471935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11659 SYMMES CREEK DR",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451409341",
            "telephone_number": "740-974-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5945 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452131609",
            "telephone_number": "513-363-4478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHRENDORF",
        "first_name": "CARRIE",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-07",
        "last_updated": "2014-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP9475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "WILSON",
            "credential": "M.A. CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cherrissa Fagin, RN
• Olivia M Fagin
• Andie Kirstin Fahey
• Rachel A Fahlbush, RN
• Maria Fahmy Wasef
• Samantha Fahrenkamp
• Bridget Fahrer, MSW, LSW
• Olivia Isabella Faig, APRN-CNP
• Sacha Fail
• Ashley Faillace

• Speech-Language Pathologist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.