Individual provider Active NPI

Kristin Joidian Uzoh, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Dallas, TX
National Provider Identifier
1205155041
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
103714 Issued in TX
Practice address
9019 Garland Rd
Dallas, TX 75218-3920
Phone
(214) 646-3554
Fax
(214) 705-3755
NPI assigned
May 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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 103714 TX Primary

Addresses

Primary practice location

9019 Garland Rd
Dallas, TX 75218-3920

Mailing address

9019 Garland Rd
Dallas, TX 75218-3920
Phone (214) 646-3554

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 Arts

Practice roles

OrganizationSpecialtyStatusNew patients
The Speech and Learning Center, L.L.P. Speech-Language Pathologist PastSince Mar 18, 2024 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.

NPI Registry JSON

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1205155041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9019 GARLAND RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752183920",
            "telephone_number": "214-646-3554",
            "fax_number": "214-705-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9019 GARLAND RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752183920",
            "telephone_number": "214-646-3554",
            "fax_number": "214-705-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UZOH",
        "first_name": "KRISTIN",
        "middle_name": "JOIDIAN",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-19",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "103714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; 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.