Active NPI
Janna Muckleroy Sims, O.T.R.
- Specialist
- Fort Worth, TX
National Provider Identifier
1346468378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 110626
- Practice address
- 6705 Chalk River Dr
Fort Worth, TX 76179-2577 - Phone
- (817) 793-6037
- NPI assigned
- Apr 23, 2007
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 110626 | TX | Primary |
Addresses
Primary practice location
6705 Chalk River Dr
Fort Worth, TX 76179-2577
Mailing address
6705 Chalk River Drive
Fort Worth, TX 76179-0000
Phone (817) 793-6037
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 |
|---|---|---|---|
| 110626 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346468378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6705 CHALK RIVER DRIVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761790000",
"telephone_number": "817-793-6037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6705 CHALK RIVER DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761792577",
"telephone_number": "817-793-6037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMS",
"first_name": "JANNA",
"middle_name": "MUCKLEROY",
"name_prefix": "Ms.",
"credential": "O.T.R.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "110626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.