Organization Active NPI

Speech & Language Therapy Assoc., PC

  • Speech-Language Pathologist
  • Azle, TX
National Provider Identifier
1073744074
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
100679 Issued in TX
Legal business name
SPEECH & LANGUAGE THERAPY ASSOC., PC
Practice address
605 Inwood Rd
Azle, TX 76020-4818
Phone
(817) 729-9506
Fax
(817) 855-0039
NPI assigned
Aug 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

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

Authorized official

Name
Mrs. Kristi M Harm, M.S., CCC-SLPNPI 1992869341
Title
Owner
Phone
(817) 729-9506

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 100679 TX Primary

Addresses

Primary practice location

605 Inwood Rd
Azle, TX 76020-4818

Mailing address

605 Inwood Rd
Azle, TX 76020-4818
Phone (817) 729-9506

Other identifiers 1

IdentifierTypeStateIssuer
178365601MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1249603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251158400000",
    "number": "1073744074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 INWOOD RD",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760204818",
            "telephone_number": "817-729-9506",
            "fax_number": "817-855-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 INWOOD RD",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760204818",
            "telephone_number": "817-729-9506",
            "fax_number": "817-855-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH & LANGUAGE THERAPY ASSOC., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-07",
        "last_updated": "2009-08-25",
        "status": "A",
        "authorized_official_last_name": "HARM",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-729-9506",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "100679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178365601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Azle, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.