Active NPI
Esther Charles
- Speech-Language Pathologist
- Coppell, TX
National Provider Identifier
1316377856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 108012
- Practice address
- 8840 Cypress Waters Blvd
Coppell, TX 75019-4594 - Phone
- (800) 788-4815
- NPI assigned
- Nov 20, 2013
- Last updated
- Apr 23, 2021
- 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 | 108012 | TX | Primary |
Addresses
Primary practice location
8840 Cypress Waters Blvd
Coppell, TX 75019-4594
Mailing address
5535 S Williamson Blvd
Suite #774
Port Orange, FL 32128-8311
Phone (800) 330-7711
Other practice location 1
5535 S Williamson Blvd
Suite #774
Port Orange, FL 32128-8311
Phone (800) 330-7711 ext. 307
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108012 | Other | TX | SLP LICENSE |
| SLP6844 | Other | NM | SLP LICENSE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619136000000",
"number": "1316377856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5535 S WILLIAMSON BLVD",
"address_2": "SUITE #774",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321288311",
"telephone_number": "800-330-7711",
"fax_number": "386-944-7202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8840 CYPRESS WATERS BLVD",
"city": "COPPELL",
"state": "TX",
"postal_code": "750194594",
"telephone_number": "800-788-4815"
}
],
"practiceLocations": [
{
"address_1": "5535 S Williamson Blvd",
"address_2": "Suite #774",
"address_purpose": "LOCATION",
"city": "Port Orange",
"state": "FL",
"postal_code": "321288311",
"country_code": "US",
"telephone_number": "800-330-7711 x307",
"fax_number": "386-944-7202",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHARLES",
"first_name": "ESTHER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-20",
"last_updated": "2021-04-23",
"certification_date": "2021-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "108012",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SLP LICENSE",
"identifier": "108012",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SLP LICENSE",
"identifier": "SLP6844",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Coppell, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.