Individual provider Active NPI

Aida Negron Maldonado, SLPA

  • Speech-Language Pathologist
  • Fort Worth, TX
National Provider Identifier
1316694904
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41930 Issued in TX
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

Updated by the provider on Oct 21, 2025

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 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

IdentifierTypeStateIssuer
41930MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
41930TXMDSpeech-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.

Verify at the official NPI Registry.