Active NPI
Barbara Dee Lane, SLP
- Speech-Language Pathologist
- Fort Worth, TX
National Provider Identifier
1225152853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 11010
- Practice address
- 701 American Flyer Blvd
Fort Worth, TX 76108-4687 - Phone
- (817) 367-1370
- Fax
- (817) 367-1371
- NPI assigned
- Mar 19, 2007
- 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 | 11010 | TX | Primary |
Addresses
Primary practice location
701 American Flyer Blvd
Fort Worth, TX 76108-4687
Mailing address
3230 River Lodge TRL S
#819
Fort Worth, TX 76116-0847
Phone (817) 731-9085
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11010 | TX | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225152853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3230 RIVER LODGE TRL S",
"address_2": "#819",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761160847",
"telephone_number": "817-731-9085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 AMERICAN FLYER BLVD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761084687",
"telephone_number": "817-367-1370",
"fax_number": "817-367-1371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "BARBARA",
"middle_name": "DEE",
"name_prefix": "Miss",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "11010",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.