Terrye D Childers, SPEECH PATHOLOGIST-

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

17330 Issued in TX

Practice address

3517 Boyd Ave
Midland, TX 79707-6605

Phone

(432) 697-9948

NPI assigned

Oct 7, 2021

Last updated

Oct 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1235891144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W MISSOURI AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797015017",
            "telephone_number": "432-688-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3517 BOYD AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797076605",
            "telephone_number": "432-697-9948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDERS",
        "first_name": "TERRYE",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "SPEECH PATHOLOGIST-",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "17330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "MISD",
            "affiliation": "N",
            "endpointDescription": "School District",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Midland",
            "address_1": "3517 Boyd Ave",
            "city": "Midland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "797076605",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Midland",
            "affiliation": "N",
            "endpointDescription": "School District",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "MISD",
            "address_1": "615 W. Missouri",
            "city": "Midland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "79701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Midland",
            "affiliation": "N",
            "address_1": "615 W. Missouri",
            "city": "Midland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "79701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Midland",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "615 W. Missouri",
            "city": "Midland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "79701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sabrina Chen, PA-S
• Steven Chen, D.M.D.
• Cheryl Vallie CFNP LP
• Edith Udoka Chiadi
• Ugochukwu Joachin Chiadi
• Vera Karen Childers, RN
• Sapna Chilka, MD
• Deborah Ann Choate, PTA
• Anand P Cholia, MD
• Chris Wilson DDS, PLLC

• Speech-Language Pathologist in Midland, TX
• Providers in Midland, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.