Organization Active NPI

Flourish Speech Therapy

  • Speech-Language Pathologist
  • Midland, TX
National Provider Identifier
1114644580
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
FLOURISH SPEECH THERAPY
Practice address
3401 Greenbriar Ste 100
Midland, TX 79707-4653
Phone
(432) 363-5422
Fax
(432) 216-5329
NPI assigned
Oct 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Authorized official

Name
Rebecca FonsecaNPI 1902361066
Title
Speech Pathologist
Phone
(806) 543-1677

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 Primary

Addresses

Primary practice location

3401 Greenbriar Ste 100
Midland, TX 79707-4653

Mailing address

3501 Crestmont Dr
Midland, TX 79707-4203
Phone (806) 543-1677

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.

NPI Registry JSON

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1114644580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 CRESTMONT DR",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797074203",
            "telephone_number": "806-543-1677",
            "fax_number": "432-216-5329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 GREENBRIAR STE 100",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797074653",
            "telephone_number": "432-363-5422",
            "fax_number": "432-216-5329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOURISH SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "FONSECA",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "806-543-1677"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

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