Individual provider Active NPI

Mallory Eskridge, MS, CCC-SLP

  • Speech-Language Pathologist
  • Dallas, TX
National Provider Identifier
1225509425
Registry record updated Dec 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
110061 Issued in TX
Practice address
5310 Harvest Hill Rd Ste 184
Dallas, TX 75230-5813
Phone
(850) 982-0655
NPI assigned
Dec 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2018

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 110061 TX Primary

Addresses

Primary practice location

5310 Harvest Hill Rd Ste 184
Dallas, TX 75230-5813

Mailing address

9363 Heatherdale Dr
Dallas, TX 75243-6153
Phone (850) 982-0655

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

NPI Registry JSON

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544918400000",
    "number": "1225509425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9363 HEATHERDALE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752436153",
            "telephone_number": "850-982-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 HARVEST HILL RD STE 184",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752305813",
            "telephone_number": "850-982-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESKRIDGE",
        "first_name": "MALLORY",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "110061",
            "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 16, 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.

Verify at the official NPI Registry.