Individual provider Active NPI

Carolyn Iris Vera, SLP INTERN

  • Speech-Language Pathologist
  • Carrollton, TX
National Provider Identifier
1033867056
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
125798 Issued in TX
Practice address
2121 Midway Rd Ste 145
Carrollton, TX 75006-5263
Phone
(972) 851-1022
NPI assigned
Mar 17, 2022
Reactivated
Sep 21, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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 125798 TX Primary

Addresses

Primary practice location

2121 Midway Rd Ste 145
Carrollton, TX 75006-5263

Mailing address

609 Michelle Way
Mesquite, TX 75149-2505
Phone (214) 282-7003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1033867056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 MICHELLE WAY",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492505",
            "telephone_number": "214-282-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 MIDWAY RD STE 145",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750065263",
            "telephone_number": "972-851-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERA",
        "first_name": "CAROLYN",
        "middle_name": "IRIS",
        "credential": "SLP INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-17",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "deactivation_date": "2026-09-12",
        "reactivation_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "125798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.