Individual provider Active NPI

Andre Jean Ferriere, SLP-CCC

  • Speech-Language Pathologist
  • Fredericksburg, TX
National Provider Identifier
1972920627
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
19018 Issued in TX
Practice address
312 W Burbank St
Fredericksburg, TX 78624-3306
Phone
(830) 955-2009
NPI assigned
Mar 19, 2014
Last updated
Mar 19, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

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 19018 TX Primary

Addresses

Primary practice location

312 W Burbank St
Fredericksburg, TX 78624-3306

Mailing address

312 W Burbank St
Fredericksburg, TX 78624-3306
Phone (830) 955-2009

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
19018TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395187200000",
    "number": "1972920627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 W BURBANK ST",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786243306",
            "telephone_number": "830-955-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 W BURBANK ST",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786243306",
            "telephone_number": "830-955-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRIERE",
        "first_name": "ANDRE",
        "middle_name": "JEAN",
        "credential": "SLP-CCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "19018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.