Individual provider Active NPI

Nancy Rodriguez, M.S.-CCC/SLP

  • Speech-Language Pathologist
  • Dallas, TX
National Provider Identifier
1093232423
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
110771 Issued in TX
Practice address
13255 Kit LN
Dallas, TX 75240-5855
Phone
(254) 228-6009
NPI assigned
Aug 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 110771 TX Primary

Addresses

Primary practice location

13255 Kit LN
Dallas, TX 75240-5855

Mailing address

13255 Kit LN
Dallas, TX 75240-5855
Phone (254) 228-6009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171017002820 TX Practitioner - Qualified Speech Language Pathologist 4688940786 Reassigns benefits to 1 organization
I20230808000596 NY Practitioner - Qualified Speech Language Pathologist 4688940786 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Expressable Speech-Language Pathology, P.C. Speech-Language Pathologist CurrentSince Apr 6, 2026 Accepting new patients
Expressable Therapy PC Speech-Language Pathologist CurrentSince Apr 6, 2026 Accepting new patients

Locations

99 Hudson St
Fl 5
New York, NY 10013
Phone (646) 301-2578

3800 N Lamar Blvd
Ste 200
Austin, TX 78756
Phone (303) 578-2702

204 E Cano St
Edinburg, TX 78539
Phone (956) 642-0828

Organizations & group practices 3

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": "1503619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1093232423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13255 KIT LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752405855",
            "telephone_number": "254-228-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13255 KIT LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752405855",
            "telephone_number": "254-228-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "NANCY",
        "credential": "M.S.-CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "110771",
            "primary": true
        }
    ],
    "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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.