Active NPI
Jessica Stolt, M.ED., LAT
- Other Specialist/Technologist
- Benbrook, TX
National Provider Identifier
1336981646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Specialist/Technologist
- License
- AT8975
- Practice address
- 9708 Leland LN
Benbrook, TX 76126-3106 - Phone
- (254) 278-7462
- NPI assigned
- Jun 7, 2024
- 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 |
|---|---|---|---|---|
| Other Specialist/Technologist | 246Z00000X | AT8975 | TX | Primary |
Addresses
Primary practice location
9708 Leland LN
Benbrook, TX 76126-3106
Mailing address
9708 Leland LN
Benbrook, TX 76126-3106
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT8975 | TX | MD | Other Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717718400000",
"number": "1336981646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9708 LELAND LN",
"city": "BENBROOK",
"state": "TX",
"postal_code": "761263106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9708 LELAND LN",
"city": "BENBROOK",
"state": "TX",
"postal_code": "761263106",
"telephone_number": "254-278-7462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOLT",
"first_name": "JESSICA",
"credential": "M.ED., LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-07",
"last_updated": "2024-06-07",
"certification_date": "2024-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": "TX",
"license": "AT8975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Benbrook, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.