Individual provider Active NPI

Morgan Elizabeth Flom

  • Speech-Language Pathologist
  • Justin, TX
National Provider Identifier
1114669884
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
118688 Issued in TX
Practice address
120 Meadow View Dr
Justin, TX 76247-9639
Phone
(817) 430-4417
NPI assigned
Apr 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 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 118688 TX Primary

Addresses

Primary practice location

120 Meadow View Dr
Justin, TX 76247-9639

Mailing address

120 Meadow View Dr
Justin, TX 76247-9639

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mflom@twu.edu
Direct Messaging Address mflom@twu.edu

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

LicenseStateTypeSpecialty
118688TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1114669884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MEADOW VIEW DR",
            "city": "JUSTIN",
            "state": "TX",
            "postal_code": "762479639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MEADOW VIEW DR",
            "city": "JUSTIN",
            "state": "TX",
            "postal_code": "762479639",
            "telephone_number": "817-430-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOM",
        "first_name": "MORGAN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "118688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mflom@twu.edu",
            "affiliation": "N",
            "address_1": "120 Meadow View Dr",
            "city": "Justin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "762479639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mflom@twu.edu",
            "affiliation": "N",
            "address_1": "120 Meadow View Dr",
            "city": "Justin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "762479639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Justin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.