Natalie Ann Dubois, MED CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12393 Issued in TX

Practice address

1701 Pine Tree Rd
Longview, TX 75604-1909

Phone

(903) 295-5151

Fax

(903) 295-1808

NPI assigned

May 18, 2022

Last updated

May 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

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.

• Pine Tree Isd

  • Local Education Agency (LEA)
  • Longview, TX
  • NPI 1710103213
  NPD (past)

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1083351266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5878",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756085878",
            "telephone_number": "903-295-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 PINE TREE RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756041909",
            "telephone_number": "903-295-5151",
            "fax_number": "903-295-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOIS",
        "first_name": "NATALIE",
        "middle_name": "ANN",
        "credential": "MED CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "12393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Heard Nutrition LLC
• Dragonfly Therapeutic Services, PLLC
• Keaira Keonte Drayden, RN
• Nathan S. Drever, MD
• DRL Labs LTD
• Leticia Laura Dula, M.A. CCC / SLP
• Lewis Alvin Duncan, M.D.
• Dawn Dunn
• Travis Mark Dunn, R.PH.
• Christopher L Dunnahoo, MD

• Speech-Language Pathologist in Longview, TX
• Providers in Longview, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.