MS. CRYSTAL L FEDOR (NPI# 1487802591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487802591 |
| Entity Type | Individual |
| Full Name | MS. CRYSTAL L FEDOR |
| Credential | M.ED., CCC-SLP |
| Practice Address |
609 East Third Street Pembroke NC 28372-2842 |
| Mailing Address |
Po Box 2842 Pembroke NC 28372 |
| Practice Telephone | 9107346231 |
| Mailing Telephone | 9107346231 |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2008-09-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 8051 | NC | Speech, Language and Hearing Service Providers |
| Street Address |
609 EAST THIRD STREET |
| City | PEMBROKE |
| State | NC |
| Zip Code | 28372-2842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962977 | Kayla J Oxendine | Counselor | 86 Threehunts Drive, Pembroke, NC 28372 | 2020-11-03 |
| 1720688401 | Melissa Claire Kratz | Pharmacist | 930 Hwy 711 East, Pembroke, NC 28372 | 2020-10-30 |
| 1841775681 | Nikki Locklear | Counselor | 86 Three Hunts Dr., Pembroke, NC 28372 | 2018-09-27 |
| 1043703218 | Julie Anne Harrison-swartz | Nurse Practitioner | Uncp Student Health, 113 Hawk Drive, Pembroke, NC 28372 | 2018-06-12 |
| 1134627508 | William Dixon | Specialist/Technologist | One University Drive, Pembroke, NC 28372 | 2018-01-31 |
| 1740796291 | A Primary Choice, Inc. | In Home Supportive Care | 208 Union Chapel Road, Suite D, Pembroke, NC 28372 | 2017-12-20 |
| 1578924130 | William Joshua Johnson | Nurse Practitioner | 3334 Moss Neck Road, Pembroke, NC 28372 | 2016-03-10 |
| 1831560234 | Sungjun Jung | Pharmacist | 930 Nc Hwy 711 E, Pembroke, NC 28372 | 2015-10-12 |
| 1154715027 | Lilly Marie Shorter | Counselor | 86 Three Hunt Drive, Pembroke, NC 28372 | 2015-03-27 |
| 1487046728 | Eye Heart You Home Health, LLC | Public Health or Welfare | 925 University Road, Pembroke, NC 28372 | 2015-02-24 |
| Find all providers in zip 28372 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444872 | Melissa Bourgoin | Speech-Language Pathologist | 715 Riverwood Dr, Pembroke, NH 03275-3701 | 2020-10-15 |
| 1528684495 | Tamra Lowry | Speech-Language Pathologist | 2600 St Anna Rd, Pembroke, NC 28372-8420 | 2020-06-17 |
| 1144841131 | Kimberly Ann Gillis | Speech-Language Pathologist | 300 Belanger Dr, Pembroke, NH 03275-3258 | 2020-04-30 |
| 1093137465 | Holly Marcotte | Speech-Language Pathologist | 212 Pembroke Hill Rd, Pembroke, NH 03275-3225 | 2014-01-20 |
| 1235490798 | Speechfundamentals Pllc | Speech-Language Pathologist | 113 Vance St, Pembroke, NC 28372-4505 | 2012-05-31 |
| 1851535942 | Janet Gail Cummings-locklear | Speech-Language Pathologist | 4151 Prospect Rd, Pembroke, NC 28372-8400 | 2009-04-21 |
| 1891961553 | Roberta Ann Woodell | Speech-Language Pathologist | 2872 Union Chapel Rd, Pembroke, NC 28372-8400 | 2008-05-02 |
| 1447424171 | Shelley Hill Payne | Speech-Language Pathologist | 1600 Pembroke Oak Grove Rd, Pembroke, KY 42266-9760 | 2008-04-14 |
| 1851905632 | Jessica Roth | Speech-Language Pathologist | 209 Academy Rd, Pembroke, NH 03275-1345 | 2020-08-31 |
| 1750990784 | Theresa Zeoli | Speech-Language Pathologist | 42 Winter St Ste 25, Pembroke, MA 02359-4958 | 2020-07-27 |
| Find all providers in PEMBROKE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.