Active NPI
Jean Lopez
- Speech-Language Pathologist
- The Colony, TX
National Provider Identifier
1336877059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 16772
- Practice address
- 5101 Nash Dr
The Colony, TX 75056-1700 - Phone
- (469) 948-3780
- NPI assigned
- Aug 10, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 16772 | TX | Primary |
Addresses
Primary practice location
5101 Nash Dr
The Colony, TX 75056-1700
Mailing address
1201 Dame Susan LN
Lewisville, TX 75056-5777
Phone (972) 740-3150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16772 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lopezj@lisd.net | Direct | Lewisville ISD |
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 |
|---|---|---|---|
| 16772 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lewisville Isd | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Local Education Agency (LEA)
- Lewisville, TX
- NPI 1538287370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660089600000",
"number": "1336877059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 DAME SUSAN LN",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750565777",
"telephone_number": "972-740-3150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5101 NASH DR",
"city": "THE COLONY",
"state": "TX",
"postal_code": "750561700",
"telephone_number": "469-948-3780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "JEAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-10",
"last_updated": "2022-08-10",
"certification_date": "2022-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "16772",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "16772",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lopezj@lisd.net",
"affiliation": "Y",
"endpointDescription": "work email",
"affiliationName": "Lewisville ISD",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "400 W Main St",
"address_2": "West Entrance",
"city": "Lewisville",
"state": "TX",
"country_code": "US",
"postal_code": "750573758",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in The Colony, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.