Active NPI
Avery Crownover
- Speech-Language Pathologist
- Waxahachie, TX
National Provider Identifier
1093469959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 113510
- Practice address
- 2460 N I 35 Ste 260
Waxahachie, TX 75165-5278 - Phone
- (972) 938-3311
- NPI assigned
- Feb 9, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 113510 | TX | Primary |
Addresses
Primary practice location
2460 N I 35 Ste 260
Waxahachie, TX 75165-5278
Mailing address
2460 N Interstate 35 E Road
Suite 260
Waxahachie, TX 75165
Phone (972) 938-3311
Other names 1
- Avery Fowler
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113510 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bir JV LLP | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Dallas, TX
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702425600000",
"number": "1093469959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2460 N INTERSTATE 35 E ROAD",
"address_2": "SUITE 260",
"city": "WAXAHACHIE",
"state": "TX",
"postal_code": "75165",
"telephone_number": "972-938-3311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2460 N I 35 STE 260",
"city": "WAXAHACHIE",
"state": "TX",
"postal_code": "751655278",
"telephone_number": "972-938-3311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROWNOVER",
"first_name": "AVERY",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-09",
"last_updated": "2023-12-13",
"certification_date": "2022-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "113510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AVERY",
"last_name": "FOWLER",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Waxahachie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.