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KRISTEN FAGAN
NPI 1790660793
Speech-Language Pathologist in Massapequa Park, NY

Active since August 08, 2025
45 MASSAPEQUA AVE, MASSAPEQUA PARK, NY 11762(516) 306-4707 Get Directions Write a Review

NPPES record last updated: June 7, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 7, 2026, Aug 8, 2025 (2 updates tracked since 2025).

About Kristen Fagan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTEN FAGAN (NPI 1790660793) is an individual speech-language pathologist provider in Massapequa Park, New York, licensed in New York (031099) and active in the NPI registry since August 2025. She maintains a secondary practice location in North Babylon.

NPPES Registry Identity

NPI1790660793
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKRISTEN FAGAN
Location Address45 MASSAPEQUA AVEMassapequa Park, NY 11762-3317
Mailing Address45 Massapequa AveMassapequa Park, NY 11762-3317
Phone(516) 306-4707
Sole ProprietorNo
Enumeration DateAugust 8, 2025
Last NPPES UpdateJune 7, 20262 updates tracked since enumeration
NPPES CertifiedJune 7, 2026
✔ NPI 1790660793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in NY · 031099
Definition
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.
45 MASSAPEQUA AVE, Massapequa Park, NY 11762
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Secondary Practice Location 1

Location 15 Jardine PlNorth Babylon, NY 11703-4299 · Phone (631) 620-7060

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUP TO NUTS SPEECH AND FEEDING THERAPY PLLC
Speech-Language Pathologist
45 MASSAPEQUA AVE
MASSAPEQUA PARK, NY 11762
Nassau County (516) 306-4707

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristen Fagan's NPI number?

The NPI number for Kristen Fagan is 1790660793. It was assigned to this individual provider in the NPPES registry on August 8, 2025.

Where is Kristen Fagan located?

Kristen Fagan practices at 45 Massapequa Ave, Massapequa Park, NY 11762. The listed phone number is (516) 306-4707.

What is Kristen Fagan's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Kristen Fagan was last updated on June 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.