Active NPIIndividual provider

Keina M Fields-Small, CCC-SLP

Speech-Language Pathologist, in Plantsville, Connecticut

NPI Number1386508463
Practice location
130 Roseanna RD, Plantsville, CT 06479-1231
Fax
—
Last updated
December 12, 2025

Keina Marie Fields-Small is a Speech-Language Pathologist, based in Plantsville, CT. Keina Marie Fields-Small practices in Plantsville, CT and has the professional credentials of CCC-SLP. The NPI Number for Keina Marie Fields-Small is 1386508463 and holds a License No. 003640 (CT). The current practice location address for Keina Marie Fields-Small is 130 Roseanna RD, Plantsville, CT 06479-1231 and can be reached out via phone at 315-727-9927.

Provider Profile Details

NPI Number
1386508463
Provider Name
Keina Marie Fields-Small
Credential
CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
130 Roseanna RD, Plantsville, CT 06479-1231
Phone Number
315-727-9927
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
December 12, 2025
Last Update Date
December 12, 2025
Certification Date
December 12, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
130 Roseanna RD
Plantsville, CT 06479-1231
Zip
06479-1231
Phone Number
315-727-9927
Plantsville, CT 06479Get directions →

Provider Business Mailing Address Details

Address
130 Roseanna RD
Plantsville, CT 06479-1231
City
Plantsville
State
CT
Zip
06479-1231
Phone Number
315-727-9927

License Information

License Number (1)
003640
License State (1)
CT
Taxonomy (1)
Speech-Language Pathologist, · 235Z00000X
License Number (2)
014001-01
License State (2)
NY
Taxonomy (2)
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Keina M Fields-Small, CCC-SLP?

The NPI number of Keina M Fields-Small, CCC-SLP is 1386508463. It was assigned on December 12, 2025 and is currently active in the NPPES registry.

What is the specialty of Keina M Fields-Small, CCC-SLP?

Keina M Fields-Small, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in CT under license number 003640.

Where does Keina M Fields-Small, CCC-SLP practice?

The practice location is 130 Roseanna RD, Plantsville, CT 06479-1231. The office can be reached at 315-727-9927 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386508463 directly on the NPPES registry website.

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