Active NPI
Mary Helen Lundeen, MS
- Speech-Language Pathologist
- Hurst, TX
National Provider Identifier
1124513155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 114640
- Practice address
- 305 NE Loop 820
Business Tower 1, Suite 200
Hurst, TX 76053 - Phone
- (817) 292-8787
- Fax
- (817) 789-6849
- NPI assigned
- Jun 22, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 114640 | TX | Primary |
Addresses
Primary practice location
305 NE Loop 820
Business Tower 1, Suite 200
Hurst, TX 76053
Mailing address
404 S Fryers Creek Cir Apt 917
Temple, TX 76504-7583
Phone (434) 534-7436
Other practice location 1
2128 S. 61rst St.
Temple, TX 76504
Phone (254) 314-8580
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114640 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529625600000",
"number": "1124513155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 S FRYERS CREEK CIR APT 917",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765047583",
"telephone_number": "434-534-7436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 NE LOOP 820",
"address_2": "BUSINESS TOWER 1, SUITE 200",
"city": "HURST",
"state": "TX",
"postal_code": "76053",
"telephone_number": "817-292-8787",
"fax_number": "817-789-6849"
}
],
"practiceLocations": [
{
"address_1": "2128 S. 61rst St.",
"address_purpose": "LOCATION",
"city": "Temple",
"state": "TX",
"postal_code": "76504",
"country_code": "US",
"telephone_number": "254-314-8580",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUNDEEN",
"first_name": "MARY",
"middle_name": "HELEN",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-22",
"last_updated": "2018-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "114640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hurst, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.