Active NPI
Aida Negron Maldonado, SLPA
- Speech-Language Pathologist
- Fort Worth, TX
National Provider Identifier
1316694904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 41930
- Practice address
- 5145 Escambia Ter
Fort Worth, TX 76244-5924 - Phone
- (817) 602-2010
- NPI assigned
- Mar 3, 2022
- 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 | 41930 | TX | Primary |
Addresses
Primary practice location
5145 Escambia Ter
Fort Worth, TX 76244-5924
Mailing address
5145 Escambia Ter
Fort Worth, TX 76244-5924
Phone (817) 602-2010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41930 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://shp.mycubhub.net/Account/SignIn?ReturnUrl=%2f | Health Information Exchange (HIE) | Sanctum Health Partners, LLC |
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 |
|---|---|---|---|
| 41930 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761004800000",
"number": "1316694904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5145 ESCAMBIA TER",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762445924",
"telephone_number": "817-602-2010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5145 ESCAMBIA TER",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762445924",
"telephone_number": "817-602-2010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALDONADO",
"first_name": "AIDA",
"middle_name": "NEGRON",
"credential": "SLPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-03",
"last_updated": "2025-10-21",
"certification_date": "2025-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "41930",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41930",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://shp.mycubhub.net/Account/SignIn?ReturnUrl=%2f",
"affiliation": "Y",
"affiliationName": "Sanctum Health Partners, LLC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "5145 Escambia Ter",
"city": "Fort Worth",
"state": "TX",
"country_code": "US",
"postal_code": "762445924",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.