Individual provider Active NPI

Darla R Fountain, SLP

  • Speech-Language Pathologist
  • Kaufman, TX
National Provider Identifier
1326084864
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
14573 Issued in TX
Practice address
1409 Overlook Dr
Kaufman, TX 75142-3818
Phone
(903) 826-7380
Fax
(214) 889-9580
NPI assigned
Jun 22, 2006
Last updated
Feb 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 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 14573 TX Primary

Addresses

Primary practice location

1409 Overlook Dr
Kaufman, TX 75142-3818

Mailing address

1409 Overlook Dr
Kaufman, TX 75142-3818
Phone (903) 826-7380

Other identifiers 4

IdentifierTypeStateIssuer
089225901MedicaidTX
118613721MedicaidAR
528367OtherTXBLUE CROSS
97971OtherARBLUE CROSS

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
14573TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Pathology Services PLLC Speech-Language Pathologist CurrentSince Feb 23, 2025 Accepting new patients
Speech Pathology Services Speech-Language Pathologist Past Accepting new patients

Locations

2208 College Dr
Texarkana, TX 75503
Phone (903) 792-3986

4824 McKnight Rd
Texarkana, TX 75503
Phone (903) 614-5800

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1326084864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 OVERLOOK DR",
            "city": "KAUFMAN",
            "state": "TX",
            "postal_code": "751423818",
            "telephone_number": "903-826-7380",
            "fax_number": "214-889-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 OVERLOOK DR",
            "city": "KAUFMAN",
            "state": "TX",
            "postal_code": "751423818",
            "telephone_number": "903-826-7380",
            "fax_number": "214-889-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUNTAIN",
        "first_name": "DARLA",
        "middle_name": "R",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "14573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089225901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118613721",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "528367",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "97971",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaufman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.