Kaitlin Shanahan Fagan (NPI# 1437755006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1437755006 |
| Entity Type | Individual |
| Full Name | Kaitlin Shanahan Fagan |
| Credential | CCC-SLP |
| Gender | Female |
| Practice Address |
768 N Taney St Philadelphia PA 19130-2418 |
| Practice Telephone | 6106757734 |
| Mailing Address |
768 N Taney St Philadelphia PA 19130-2418 |
| Mailing Telephone | 6106757734 |
| Sole Proprietor | Yes, this individual is a Sole Proprietor |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2020-12-09 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | SL015152 | PA |
| No | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | 77218-SP-SL | MA |
| 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 |
|---|---|---|---|---|
| 1831793553 | Veronica Cristiano | Speech-Language Pathologist | 4521 Chester Ave Apt 2, Philadelphia, PA 19143-3706 | 2020-11-23 |
| 1912509217 | Jessica Pachuski | Speech-Language Pathologist | 4462 Silverwood St Apt 2, Philadelphia, PA 19127-1369 | 2020-11-11 |
| 1821696931 | Abigail Stern | Speech-Language Pathologist | 4827 Umbria St, Philadelphia, PA 19127-1916 | 2020-10-12 |
| 1750988754 | Jennifer M Lisberger | Speech-Language Pathologist | 130 N 2nd St Unit 2c, Philadelphia, PA 19106-4604 | 2020-10-04 |
| 1487261699 | Brooke Ashley Beechan | Speech-Language Pathologist | 1712 Green St Apt 4, Philadelphia, PA 19130-4132 | 2020-09-30 |
| 1841807245 | Jaclyn Isis Lisberger | Speech-Language Pathologist | 130 North 2nd Street-#2e, Philadelphia, PA 19106 | 2020-09-29 |
| 1164039616 | Alexandra Gallagher Slp | Speech-Language Pathologist | 1326 N Mascher St Unit E, Philadelphia, PA 19122-4630 | 2020-09-29 |
| 1245846872 | Brittany Mae Smolar | Speech-Language Pathologist | 1539 S Garnet St, Philadelphia, PA 19146-4627 | 2020-09-18 |
| 1063026904 | Katherine Mary Moran | Speech-Language Pathologist | 3327 Krail St, Philadelphia, PA 19129-1526 | 2020-09-08 |
| 1235749383 | Morgan Stanislaus | Speech-Language Pathologist | 633 W Rittenhouse St Apt B614, Philadelphia, PA 19144-4320 | 2020-08-04 |
| Find all providers in PHILADELPHIA | ||||
| Street Address |
768 N TANEY ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19130-2418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912518226 | Karen Dybner-madero | Psychologist | 2201 Pennsylvania Avenue, The Parkway House, Suite 101, Philadelphia, PA 19130 | 2020-08-11 |
| 1689213456 | Nora Marie Corbett | Physical Therapist | 1714 Fairmount Avenue, Philadelphia, PA 19130 | 2019-12-27 |
| 1104470665 | Thibault Counseling LLC | Clinic/Center | 2049 North Street, Philadelphia, PA 19130 | 2019-08-01 |
| 1619444577 | Rebecca Boova | Dietitian, Registered | 1644 Francis St, #3, Philadelphia, PA 19130 | 2018-10-30 |
| 1184191108 | Sharon Marie Thompson | Nurse Practitioner | School District of Philadelphia/school Health Services, 440 North Broad Street, Philadelphia, PA 19130 | 2018-10-29 |
| 1861918542 | Theresa Mary Thompson | Dental Hygienist | Delaware Valley Community Health, 1412 Fairmount Avenue, Philadelphia, PA 19130 | 2017-08-15 |
| 1023539806 | Marina France | Social Worker | 2401 Pennsylvania Ave Ste 1a2, Philadelphia, PA 19130 | 2017-06-30 |
| 1619425063 | Sarah Nash | Dietitian, Registered | 420 North 20th Street, Philadelphia, PA 19130 | 2016-09-14 |
| 1154737757 | Julia Ferrence | Social Worker | 2305 Fairmount Avenue, Philadelphia, PA 19130 | 2014-07-03 |
| 1811319924 | Larry H Goldberg | Internal Medicine | 2441 Olive Street, Philadelphia, PA 19130 | 2014-01-08 |
| Find all providers in zip 19130 | ||||
| City | PHILADELPHIA |
| Zip Code | 19130 |
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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.