Individual provider Active NPI

Marianicolle Velarde

  • Speech-Language Pathologist
  • Carrollton, TX
National Provider Identifier
1053220004
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
2121 Midway Rd Ste 145
Carrollton, TX 75006-5263
Phone
(972) 851-1022
NPI assigned
Sep 4, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 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 Primary

Addresses

Primary practice location

2121 Midway Rd Ste 145
Carrollton, TX 75006-5263

Mailing address

833 Van Cliburn Way Unit 2-3003
Fort Worth, TX 76107-3030
Phone (817) 522-8956

Other practice location 1

833 Van Cliburn Way Unit 2-3003
Fort Worth, TX 76107-3030
Phone (956) 465-9105

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": "1788480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1053220004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 VAN CLIBURN WAY UNIT 2-3003",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761073030",
            "telephone_number": "817-522-8956"
        },
        {
            "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": [
        {
            "address_1": "833 Van Cliburn Way Unit 2-3003",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761073030",
            "country_code": "US",
            "telephone_number": "956-465-9105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELARDE",
        "first_name": "MARIANICOLLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-04",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "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 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.