Individual provider Active NPI

Cacique Carde' Ambeau, M.S., SLP-A

  • Specialist
  • Dallas, TX
National Provider Identifier
1073166047
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
6116 Reiger Ave
Dallas, TX 75214-4599
Phone
(972) 502-8964
NPI assigned
Jul 18, 2019
Last updated
Aug 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary
Speech-Language Assistant 2355S0801X 42350 TX
Behavior Technician 106S00000X LA

Addresses

Primary practice location

6116 Reiger Ave
Dallas, TX 75214-4599

Mailing address

111 Morgan Ave Apt 3003
Dallas, TX 75203-1043
Phone (504) 206-0340

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
42350TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pathway Therapeutic Partners, LLC PastSince Dec 8, 2024 Accepting new patients
Ochoa Speech and Language PastSince Jul 25, 2019 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1073166047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MORGAN AVE APT 3003",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031043",
            "telephone_number": "504-206-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6116 REIGER AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752144599",
            "telephone_number": "972-502-8964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBEAU",
        "first_name": "CACIQUE",
        "middle_name": "CARDE'",
        "credential": "M.S., SLP-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "42350",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "LA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.