Active NPI
Sheila Maldonado Garcia, MS CCC-SLP
- Speech-Language Pathologist
- Fort Worth, TX
National Provider Identifier
1114790284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 119184
- Practice address
- 900 W Leuda St
Fort Worth, TX 76104-3002 - Phone
- (817) 332-7003
- Fax
- (817) 332-2325
- NPI assigned
- Nov 1, 2023
- 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 | 119184 | TX | Primary |
Addresses
Primary practice location
900 W Leuda St
Fort Worth, TX 76104-3002
Mailing address
718 Hollywood Ave
Dallas, TX 75208-7829
Phone (469) 618-2079
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119184 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698796800000",
"number": "1114790284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "718 HOLLYWOOD AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752087829",
"telephone_number": "469-618-2079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 W LEUDA ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761043002",
"telephone_number": "817-332-7003",
"fax_number": "817-332-2325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALDONADO GARCIA",
"first_name": "SHEILA",
"credential": "MS CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-01",
"last_updated": "2023-11-01",
"certification_date": "2023-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "119184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.