Fort Worth Speech and Lactation LLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

Legal business name

FORT WORTH SPEECH AND LACTATION LLC

Practice address

12800 Portifino St
Fort Worth, TX 76126-6108

Phone

(817) 253-9878

NPI assigned

Mar 10, 2026

Organization subpart

No

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

Authorized official

Name

Abigail EarlNPI 1194542407

Title

Owner

Phone

(817) 253-9878

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abigail Earl

  • Speech-Language Pathologist
  • Fort Worth, TX
  • NPI 1194542407

  Lactation Consultant, Non-RN

  NPD Authorized official

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

{
    "created_epoch": "1773100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1073469110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12800 PORTIFINO ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761266108",
            "telephone_number": "817-253-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 PORTIFINO ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761266108",
            "telephone_number": "817-253-9878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT WORTH SPEECH AND LACTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-10",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "EARL",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-253-9878"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Fort Worth Speech Therapy LLC
• Fort Worth Surgical Center LP
• Fort Worth Surgicare Partners LTD
• Fort Worth Surgicare Partners, LTD
• Fort Worth Surgicare Partners, LTD.

• Lactation Consultant (Non-RN) in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Lactation Consultant (Non-RN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; 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.